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2017-2018 Nursing Education
Student Handbook
Nursing
Final Version
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ACCREDITATION and CONTINUING APPROVAL
San Diego City College is accredited by the Western Association of Schools and Colleges.
The San Diego City College Nursing Education Program is fully accredited by the
Accreditation Commission for Education in Nursing (ACEN) and fully approved by the
California Board of Registered Nursing (BRN).
Questions and concerns regarding accreditation status may be addressed to the: BRN (1747
North Market Boulevard, Suite 150, Sacramento, CA 95834;
Phone: 916-322-3350, email: [email protected]). ) or ACEN (3343 Peachtree Rd. NE, Suite
500, Atlanta, GA 30326, Phone: 404-975-5020, email: [email protected]).
Department Telephone Number: (619) 388-3441. Or email [email protected]
Department Website: The Nursing Education Program Website can be found at:
www.sdcity.edu/nursingeducation
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TABLE OF CONTENTS
ACKNOWLEDGEMT OF REVIEW / ACCOUNTABILITY FORM
FOREWORD
Acknowledgment of review Accountability Form
GENERAL INFORMATION
Organizational Structure 8
College Mission and Nursing Education Mission 9
Mission Vision and Values 10
Historical Background of the Nursing Education Program 11
Philosophy and Conceptual Framework 12-13
Curriculum Threads and Learning Outcomes 14-15
Program Learning Outcomes 16
California Board of Registered Nursing Approved Programs 17
Curriculum Design 18
Registered Nursing Program Generic 19
Licensed Vocational Nurse to Registered Nurse (LVN-RN) 20
LVN Thirty Unit Option 21
Licensed Vocational Nurse California Code of Regulations 1429 22
Program Resources 23-24
PROGRAM POLICIES / PROCEDURES: STANDARDS OF THE PROFESSION
Nurses’ Code of Ethics 26
American Nurses' Association Code of Ethics For Nurses 27
Admission to the Nursing Education 28
Student Responsibilities and Program Requirements- Approximate Expenses 29-30
Health Requirements 31
Academic Accommodation 32
Physical and Mental Abilities for Nurses 33-35
Student and Faculty Communication 36
Student Responsibilities and Code of Conduct 37-38
Integrity and Professional Ethics 39-40
General Complaint and Administrative Due Process 41
Academic Accommodation Due to Disability Complaint 42
Unlawful Harassment or Discrimination Based on Sex or Gender 43
Students Impaired by Alcohol, Drug Abuse or Emotional Illness 44
Standards for Written Work 45
Late Papers and Late Assignments 45
Student Illness or Injury 46
Social Network / Social Media Conduct 47
Nursing Education Computer Lab 48
Attendance Policy 49
Absences and Lateness Related to Examinations 50
Exam Confidentiality 51
Absences and Clinical Make-Up Assignments 52
Leave of Absence 53
Proctoring in the Nursing Department and Accommodations for Students with Disabilities 54
Nursing Student Bill of Responsibilities 55
Diagnostic Examinations Assessment Technology Institute Testing (ATI) 56
Collaborative Testing 57
Evaluation of Learning and Expected Proficiency 58
Dosage Calculation Math Proficiency 59
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Dosage Calculation Quiz Format 60
Rounding Rules 61-62
Grading Practices 63
Examination Review 64
Surveys, Program Review, and Student Participation 65
Dismissal From the Program 66
Program Readmission 67-68
ATI Levels of Proficiency 69-75
CLINICAL INFORMATION CLINICAL POLICIES CLINICAL PROCEDURES
San Diego Nursing Service-Education Consortium Background Check/Screening and Urine
Drug Screening
77-79
Accommodations in the Clinical Environment 80
Release of Information to Clinical Agencies 81
Student Responsibilities Related to Clinical Experiences 82-83
Infection Control Policy 84-85
Latex Sensitivity 86
Clinical Evaluation Clinical Grading 87
Clinical Performance Scale 88-89
Criteria For Unsafe Clinical Performance 90-91
Clinical Simulation 92-94
Attendance Tracking Skills Laboratory NRSE 101, 121 (First Year), 206 (Second Year) 95
Clinical Dress Code 96-97
Clinical Evaluation Tool 98-99
STUDENT NURSES ASSOCIATION
PROGRAM COMPLETION
GRADUATION AND PINNING
Professional Organizations 101
ADSNA Bylaws 102-108
National Student Nurses Association Code of Conduct 109-110
California Board of Registered Nursing Policy on Denial of Licensure 111-112
Program Completion / Petition for Graduation 113
Graduation / Completion Ceremony 114
Procedures for Pinning Ceremony 115-116
APPENDICES
ATI Comprehensive Assessment and Review Program A
ATI RN Comprehensive Predictor of Passing Expectancy Table B
Nursing Process/Care Planning Guide to Expectations and Requirements C
Uniform Patch Instructions D
Request for a Letter of Reference/Recommendation E
Challenging the CNA Test F
Student Success Plan G
Equipment Check-in/out Form H
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Foreword
Associate Dean, San Diego City College, Nursing Education Program
The San Diego City College Nursing Student Handbook is prepared by the faculty and by the
program leadership. It is a supplement to the San Diego City College Catalog.
Students and nursing faculty meet ongoing throughout the fall and spring semester to create, review,
and revise policies within the handbook. Policies are reviewed and finalized throughout the fall and
spring semester of the academic year. The revised and new policies are published over the summer
on the nursing website and shared with students prior to the start of the fall semester.
For example: Fall 2015 and Spring 2016 revised policies are included in the Fall 2016 handbook.
All nursing students are responsible for reviewing the policies contained within the handbook
throughout their attendance of the San Diego City College Nursing Program.
Welcome to the profession of nursing and welcome to the City College Nursing Education Program.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Acknowledgment of Review/Accountability Form
Effective: 8/2017
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
I hereby certify that I read each page of the Nursing Education Student Handbook, that I am fully
familiar with the contents of this document and that I fully understand and agree to its terms and
provisions.
The policies and procedures written in this handbook are designed to assist students as they progress
through the program and answer some of the most frequently asked questions. Contents
presented in this handbook are in accordance with the San Diego Community College District,
additional student information is also available in the college catalog.
Any questions that I have about the Nursing Education Program and the contents of the Student
Handbook have been fully explained to my satisfaction. Any addendums to this document will be
communicated with me via electronic mail and will be posted on the SDCC Nursing Website.
http://www.sdcity.edu/AcademicPrograms/ProgramsofInstruction/NursingEducation.aspx
NAME (PRINTED)
SIGNATURE
DATE
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General
Information
8
Rae Brooks PhD-c RN
Associate Dean/
Director,
Nursing Education
Room V-312 C
619-388-3439
u
Kris Hale MSN
RN
Department Chair
Professor
Room V- 312 B
619-388-3340 [email protected]
Dee Armstrong DNP
MSN FNP RN
Assistant Director
Professor
Room V-312 H
619-388-3762
Rhonna Porch MSN RN
BC
Assistant Director
Professor
Room V-312 D
619-388-3811
Susan Chandler
Senior Clerk
Room V-312N
619-388-3441
u
Catherine Shafer MSN
RN
Professor
Room V-312 A
619-388-3894
Terri Francis MSN RN
Nursing Student Success
Advisor
Room V312 M
619-388-3228
Sherry Cooper MSN
FNP RN
Professor
Room V-312 J
619-388-3039
u
Petra Coronado MSN
FNP RN
Assistant Professor
Room V-312 P
619-388-3891
Anita Johnson MSN
RN
Associate Professor
Room V 312 E
619-388-3789
Samantha Sangsanoi
PhD MSN RN
Assistant Professor
Room V-312 I
619-388-3882
du
Erelyn Vinegas MSN
RN
Assistant Professor
Room V-312 G
619-388-3886
Alison White MSN
RN
Assistant Professor
Room V-312 F
619-388-3439
Tutors/ Adjunct
Professors
Room V-312 Q/R
Laura Renker
Nursing Counselor
Room V-312 O
619-388-3897
u
San Diego Nursing
Service Education
Consortium
Clinical
Placements
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SAN DIEGO CITY COLLEGE
MISSION STATEMENT
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
MISSION STATEMENT
VISION STATEMENT
San Diego City College has as its highest priority
student learning and achievement. The college
provides lower division and general education
courses that lead to certificates, associate degrees or
transfer to a four-year college or university; career
technical education programs that meet specific
industry needs, upgrade the employment skills of
students and fulfill licensing requirements of the state
of California as well as contribute to the economic
development of our region; basic skills instruction to
assist all students in meeting their educational goals;
and essential student support services for all students.
MISSION
The San Diego City College Nursing Education
Program supports the mission and values of San Diego
City College and provides excellence in education
leading to an Associate of Science Degree in Nursing
(ADN) in an effort to meet the healthcare needs of our
region.
VISION
San Diego City College Nursing Education Program is
committed to advancing the art and science of nursing
by challenging a diverse student population to develop
sound clinical judgment, leadership, and life-long
learning for employment in a dynamic healthcare
environment.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Mission, Vision, Values
Effective:
Reviewed: 4/2016
Revised:
Associate Dean, Nursing Faculty, and Students
San Diego City College, Nursing Education Program
MISSION
The San Diego City College Nursing Education Program supports the mission and values of San
Diego City College and provides excellence in education leading to an Associate of Science Degree
in Nursing (ADN) in an effort to meet the healthcare needs of our region.
VISION
The San Diego City College Nursing Education Department is committed to advancing the art and
science of Nursing by challenging a diverse student population to develop sound clinical judgment,
leadership and life-long learning for employment in a dynamic healthcare environment.
VALUES
The Nursing Education Program supports the values of San Diego City College, maintaining a
climate that promotes learning, understanding and respect for students, faculty, staff, community and
environment.
Commitment to Academic Excellence - The nursing education faculty supports interactive learning
and knowledge acquisition by fostering application of evidence based research to nursing practice
throughout the healthcare community.
Appreciation of Diversity - The nursing education department promotes inclusiveness, respect and
the value of each individual.
Collegiality - We value the contributions of all members of the college and community partners to
dialogue and decision making.
Commitment to Student Success - We value student support services as essential to students
achieving success.
Integrity - Integrity and honesty are expected and practiced.
Caring - We support and promote a culture of caring in the nursing program and healthcare
community.
Accountability - We are accountable to our profession, community, college and students for
maintaining the highest standards of instruction and nursing practice to meet student learning
outcomes and the needs of the healthcare community.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Historical Background
Effective:
Reviewed: 4/2016
Revised:
Associate Dean, Nursing Faculty, and Students
San Diego City College, Nursing Education Program
The program in Vocational Nursing at San Diego City College (SDCC) was implemented in
1969. In 1971, an L.V.N. to R.N. Career Mobility Program was initiated by the San Diego
Community College District to meet the needs of the Licensed Vocational Nurse seeking career
enhancement to the role of Registered Nurse.
Until 1978, the programs in Nursing Education offered by the San Diego Community College
District included one Nursing Assistant program, two Vocational Nursing programs (Mesa and
City campuses), and one L.V.N. to R.N. Career Mobility Program.
Due to the legislative passage of Proposition 13 in June 1978, the Board of Trustees initiated
research to reorganize the educational plan for the entire district (Passage of Proposition 13
limited the amount of taxation on property, thus imposing limitations of funding for tax-
supported institutions of learning). One of the areas of research included the validation of the
need for duplication of educational programs within the San Diego Community College District
(SDCCD).
In August 1978, the Board of Trustees made the decision to consolidate all nursing programs under
one administration. During the research process, nursing educators and nursing service leaders in
the community supported the need for a total career mobility approach to nursing education. The
need for an upward mobility program was clearly identified.
During the 1990's, the Nursing Education Department began the process of revising its program
offerings and curriculum to better meet the needs of the community and accommodate the
majority of students who sought the registered nurse option.
The revised curriculum which began in the Fall of 1995 eliminated the career ladder (educational
mobility program) concept, deactivated the vocational nursing track and established the following
program offerings: Generic Associate Degree RN program (two-year program), LVN to RN step-
up Associate Degree program, (one-year program) and LVN to RN Thirty-Unit-Option.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Philosophy and Conceptual Framework
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
PHILOSOPHY:
The Nursing Education Program is based on philosophical beliefs inherent to the practice of
nursing and education. The statement of philosophy adopted by the nursing faculty is consistent
with and supportive of the mission and philosophy of the SDCCD and SDCC. Curriculum and
course sequence progress from simple to complex knowledge and skills with emphasis on nursing
process, caring, problem solving and critical thinking. There are philosophical values critical to,
and inherent in, nursing and nursing education that are the foundation on which educational
experiences are structured. Educational outcomes facilitate the integration of information relevant
to nursing and patient care.
Included in the philosophy are the definitions of the basic concepts of person, environment,
health, nursing, education, teaching and learning.
Person refers to a unique individual with physiological, psychological, social, cultural,
developmental and spiritual dimensions that are in constant interaction with the
environment.
Environment consists of internal and external factors that impact the individual.
Health is a dynamic state of equilibrium that exists on a continuum between optimal
functioning, or wellness, and alterations in functioning, or illness. Health is affected by
lifestyle behaviors and the ability to maintain basic human needs.
Nursing is an art and applied science based on principles from the biological, physical and
behavioral sciences which focuses on the diagnosis and treatment of human responses to
actual or potential health problems. It is patient centered and designed to assist the
individual to achieve and maintain maximum functioning throughout the life span. Nurses
collaborate with health team members to provide quality care based on physiological,
psychological, social, cultural and spiritual needs. The practice of nursing is based upon a
unique body of knowledge derived from a synthesis of multidisciplinary and nursing
research resulting in evidence based practice. Nursing is an evolving profession which
requires a continuing commitment to learning.
Education is a dynamic and synergistic process of sharing information between
individuals resulting in measurable changes in the knowledge and behavior of the
learner. Education respects the individuality of students and recognizes that each student
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has different educational, experiential, cultural, spiritual, economic and social
backgrounds and a unique support system. The aim of education is to develop critical
thinking and problem solving skills in a positive, innovative environment moving from
beginning (simple) to advanced competencies (complex). This requires a collaborative
effort to create a student centered environment conducive to learning.
Teaching is the responsibility of nurse educators to utilize sound educational practices and
theoretical concepts to facilitate students’ achievement of their highest potential.
Recognition of differences in individual needs, learning styles, ethnicity and cultural backgrounds
are essential components in effective teacher-learner interactions. The teacher functions as a
professional role model in the classroom and clinical settings and maintains expertise by engaging in
professional growth activities.
CONCEPTUAL FRAMEWORK
The conceptual basis for this curriculum involves viewing the patient as an individual who has
basic human needs and is at a specific point on the health-illness continuum. The nurse assists
the patient to optimal functioning through the utilization of the nursing process, by assuming
designated nursing roles and applying theoretical knowledge to the practice setting. The nursing
curriculum is sequential and builds on previously acquired knowledge and skills. Overriding all
student experiences, the ability to think critically is emphasized.
Please note: This document will refer to the constituents receiving nursing care as either
“patients” or “clients”.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Curriculum Threads and Learning Outcomes
Effective:
Reviewed:
Revised:
Associate Dean, Nursing Faculty, San Diego City College, Nursing Education Program
THREADS
Caring
Communication/Collaboration
Critical Thinking
Diversity
Health promotion
Informatics
Leadership
Legal/Ethical Issues
Lifespan/Age Appropriate Care
Nursing Process
Nutrition
Pathophysiology
Patient Advocacy
Pharmacology
Professionalism
Research/Evidence Based Practice
Safety
Teaching/Learning Principles
LEARNING OUTCOMES
The following student learning outcomes have been identified as a requirement for students
completing the Associate Degree Nursing Curriculum.
1. Communication Skills
a. Utilizes appropriate communication styles and basic leadership skills in patient
care management.
b. Uses therapeutic communication techniques to establish a therapeutic environment.
c. Communicates relevant, accurate and complete information in a concise and clear manner.
2. Critical Thinking
a. Utilizes nursing process to develop and implement an individualized plan of care
for assigned patients
b. Makes clinical judgments and management decisions to ensure accurate and safe care.
c. Uses evidence based data to support clinical decision making.
3. Teaching/Learning
a. Develops an individualized teaching plan based on assessed needs.
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Teaches the patient and family the information and skills needed to achieve desired learning
outcomes.
a. Evaluates the progress of the patient and family toward achievement of learning outcomes.
b. Modifies the teaching plan based on evaluation of patient progress.
c. Provides the patient and family with the information to make choices regarding health.
4. Diversity
a. Identifies and honors the developmental, emotional, cultural, and spiritual influences on
the patient’s health.
b. Adapts care in consideration of the patient’s values, customs, culture, and or habits.
5. Professionalism
a. Practices within the ethical, legal, and regulatory frameworks of nursing and standards
of professional nursing practice.
b. Demonstrates accountability for nursing care given by self and or delegated to others.
c. Uses standards of nursing practice to perform and evaluate patient care.
d. Advocates for patient rights.
e. Participates as a member of professional organizations.
f. Serves as a positive role model within healthcare settings and the community at large.
g. Participates in lifelong learning.
h. Delineates and maintains appropriate professional boundaries in the nurse-
patient relationship.
6. Leadership
a. Applies principles of time management, organization, delegation and priority setting
in providing nursing care.
b. Collaborates with the patient, family and members of the healthcare team to provide
quality nursing care.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Program Learning Outcomes
Effective: Published in College Catalog
Reviewed:
Revised:
Associate Dean, Nursing Faculty, San Diego City College, Nursing Education Program
PROGRAM LEARNING OUTCOMES
Upon completion of the program the graduate will:
1. Apply concepts and skills to successfully pass the NCLEX-RN (National Council Licensure Exam for
Registered Nurses
2. Make clinical judgments and management decisions to ensure accurate and safe client care
3. Practice within the ethical, legal, and regulatory frameworks of professional nrusing practice
4. Use standards of nursing practice to perform and evaluate client care in entry-level practice
5. Participate in life-long learning
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
CALIFORNIA BOARD OF REGISTERED NURSING APPROVED PROGRAMS
The following programs are approved by the California Board of Registered Nursing:
ASSOCIATE of SCIENCE DEGREE in NURSING (GENERIC) - Upon completion of the
two year nursing curriculum and all college graduation requirements, the student is awarded
an Associate of Science Degree and is eligible to take the National Council Licensure
Examination for Registered Nurses (NCLEX-RN).
ASSOCIATE of SCIENCE DEGREE in NURSING (LVN to RN Step-Up) - Licensed Vocational
Nurses who have graduated from accredited schools of vocational nursing may apply for this
option, which requires completion of a "transition" course, all second year nursing courses, and
other college graduation requirements. The student is awarded an Associate of Science Degree
and is eligible to take the National Council Licensure Examination for Registered Nurses
(NCLEX-RN).
LVN to RN THIRTY-UNIT OPTION - Licensed Vocational Nurses who desire to complete the
minimum number of units (30) required to take the licensure examination may apply for this
option. Further information is available from the Director of Nursing Education.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION Curriculum Design
FALL SEMESTER 16 WEEKS
SEMESTER 16 WEEKS
SPRING SEMESTER 16 WEEKS
NRSE 140 Foundations of Nursing
4.5 Units
2.5 U Lab/Clinical = 17 Hrs/Wk
(x 8 weeks = 136 hours)
2 U Lecture = 4.5 Hrs/Wk
(x 8 weeks = 36 hours)
NRSE 141 Pharmacology for Nursing
1 U Lecture = 2.25 Hrs/Wk
(x 8 weeks = 18 hours)
Courses Sequential
NRSE 142 Medical/Surgical Nursing I
4.5 Units
2.5 U Lab/Clinical = 17 Hrs/Wk
(x 8 weeks = 136 hours)
2 U Lecture = 4.5 Hrs/Wk
(x 8 weeks = 36 hours)
NRSE 143 Pharmacology 2 (elective)
1 U Lecture = 2.25 Hrs/Wk
(x 8 weeks = 18 hours)
NRSE 144 Medical/Surgical Nursing II
4.5 Units
2.5 U Lab/Clinical = 17 Hrs/Wk
(x 8 weeks = 136 hours)
2 U Lecture = 4.5 Hrs/Wk
(x 8 weeks = 36 hours)
NRSE 145 Pharmacology 3 (elective)
1 U Lecture = 2.25 Hrs/Wk
(x 8 weeks = 18 hours)
Courses may Flip/flop
NRSE 146 Maternal Child Health Nursing
4.5 Units
2.25 U Lab/Clinical = 15 Hrs/Wk
(x 8 weeks = 120 hours)
2.25 U Lecture = 5 Hrs/Wk
(x 8 weeks = 40 hours)
NRSE 147 Pharmacology 4 (elective)
1 U Lecture = 2.25 Hrs/Wk
NRSE 240 Medical/Surgical Nursing III
4.5 Units
2.5 U Lab/Clinical = 17 Hrs/Wk
(x 8 weeks = 136 hours)
2 U Lecture = 4.5 Hrs/Wk
(x 8 weeks = 36 hours)
NRSE 241 Pharmacology 5 (elective)
1 U Lecture = 2.25 Hrs/Wk
(x 8 weeks = 18 hours)
Courses may Flip/flop
NRSE 242 Mental Health & Gerontological Nursing 4.5 Units
2.25 U Lab/Clinical = 15 Hrs/Wk
(x 8 weeks = 120 hours)
2.25 U Lecture = 5 Hrs/Wk
(x 8 weeks = 40 hours)
NRSE 243 Pharmacology 6 (elective)
1 U Lecture = 2.25 Hrs/Wk
NRSE 244 Medical/Surgical Nursing IV
4.5 Units
2.25 U Lab/Clinical = 15 Hrs/Wk
(x 8 weeks = 120 hours)
2.25 U Lecture = 5 Hrs/Wk
(x 8 weeks = 40 hours)
NRSE 245 Pharmacology 7 (elective)
1 U Lecture = 2.25 Hrs/Wk
(x 8 weeks = 18 hours)
Courses may Flip/flop
NRSE 246 Leadership in Nursing
4.5 Units
2.25 U Lab/Clinical = 15 Hrs/Wk
(x 8 weeks = 120 hours)
2.25 U Lecture = 5 Hrs/Wk
(x 8 weeks = 40 hours)
37 total units required + 6 units elective = 43
18 units theory; 19 units clinical
NRSE 235 LVN to RN
Transition
1.5 U Lecture = 3.375 Hrs/Wk
(x 8 weeks = 27 hours)
0.5 U Lab = 3.375Hrs/Wk
(x 8 weeks = 27 hours)
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REGISTERED NURSING PROGRAM (GENERIC)
PREREQUISITES
Biology 230
Human Anatomy
UNITS
4.0
Biology 235 Human Physiology 4.0
Biology 205 Microbiology 5.0
SEMESTER I NE
140
Foundations of Nursing
4.5
NRSE 141 Pharmacology for Nursing 1.0
NRSE 142 Medical/Surgical Nursing I 4.5
SEMESTER II
NRSE 144
Medical/Surgical Nursing II
4.5
NRSE 146 Maternal Child Health Nursing 4.5
SEMESTER III
NRSE 240
Medical/Surgical Nursing III
4.5
NRSE 242 Psychosocial and Gerontological Nursing 4.5
SEMESTER IV
NRSE 244
Medical/Surgical Nursing IV
4.5
NRSE 246 Leadership in Nursing 4.5
ELECTIVES IN NURSING
NRSE 143
Pharmacology 2
1.0
NRSE 145 Pharmacology 3 1.0
NRSE 147 Pharmacology 4 1.0
NRSE 241 Pharmacology 5 1.0
NRSE 243 Pharmacology 6 1.0
NRSE 245 Pharmacology 7 1.0
NRSE 108 Nursing Skills Laboratory 1.0
NRSE 206 Nursing Skills Laboratory 1.0
ADDITIONAL COURSES REQUIRED FOR THE ASSOCIATE DEGREE in NURSING
*English 101 Reading and Composition 3.0
*Sociology 101 or 110 or
*Anthropology 103
*Psychology 101
Principles of Sociology or Contemporary Social Problems
Introduction to Cultural Anthropology
General Psychology
3.0
3.0
*Speech 103 or 135
*Physical Education
Oral Communication or Interpersonal
Communication Two Activity Courses 3.0
2.0
*Humanities See SDCC Catalog for course options 3.0
*American Institutions See SDCC Catalog for course options 6.0
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LICENSED VOCATIONAL NURSE TO REGISTERED NURSE
PREREQUISITES
Biology 230
Human Anatomy
UNITS
4.0
Biology 235 Human Physiology 4.0
Biology 205 Microbiology 5.0
SPRING SEMESTER
NRSE 235
LVN to RN Transition
2.0
SEMESTER I
NRSE 240
Medical/Surgical Nursing III
4.5
NRSE 242 Mental Health and Gerontological Nursing 4.5
SEMESTER II
NRSE 244
Medical/Surgical Nursing IV
4.5
NRSE 246 Leadership in Nursing 4.5
ELECTIVES IN NURSING
NRSE 241
Pharmacology 5
1.0
NRSE 243 Pharmacology 6 1.0
NRSE 245 Pharmacology 7 1.0
NRSE 108 Nursing Skills Laboratory 1.0
NRSE 206 Nursing Skills Laboratory 1.0
ADDITIONAL COURSES REQUIRED FOR THE ASSOCIATE DEGREE *English 101 Reading and Composition 3.0
*Psychology 101 General Psychology 3.0
*Speech 103 or 135
*Sociology 101 or 110 or
Oral Communication or
Interpersonal Communication
Principles of Sociology or Contemporary Social Problems
3.0
3.0
*Anthropology 103
*Physical Education Introduction to Cultural Anthropology
Two Activity Courses
2.0
*Humanities See SDCC Catalog for course options 3.0
*American Institutions See SDCC Catalog for course options 6.0
*Demonstration of Competency in Mathematics
NOTE: History 123 satisfies the Humanities and 3 units of the American Institutions requirement
*It is strongly recommended that part or all of the general education requirements be
completed prior to admission to the nursing education program or during summer sessions.
Please refer to the SDCC Catalog for specific course options.
OTHER
Credit for previous vocational nursing education 15.0
TOTAL = 71.0 UNITS
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LVN-RN THIRTY-UNIT OPTION
A student may choose an alternative route to fulfill requirements for taking the registered nursing
examination in the State of California. This means of obtaining licensure is referred to as the
Thirty-Unit Option and eligibility can be achieved by successfully completing the following
requirements:
1. Submission of a copy of a valid and current California Vocational Nursing License. 2. Transfer of academic credit.
3. Completion of designated courses in the Natural/Behavioral Sciences and the Art and
Science of Nursing.
PREREQUISITES
Biology 235
Human Physiology
UNITS
4.0
Biology 205 Microbiology 5.0
SPRING SEMESTER
NE 235
LVN to RN Transition
2.0
SEMESTER I
NRSE 240
Medical/Surgical Nursing III
4.5
NRSE 242 Mental Health and Gerontological Nursing 4.5
SEMESTER II
NRSE 244
Medical/Surgical Nursing IV
4.5
NRSE 246 Leadership in Nursing 4.5
ELECTIVES IN NURSING
NRSE 241
Pharmacology 5
1.0
NRSE 243 Pharmacology 6 1.0
NRSE 245 Pharmacology 7 1.0
NRSE 108 Nursing Skills Laboratory 1.0
NRSE 206 Nursing Skills Laboratory 1.0
TOTAL = 29.0 UNITS
NOTE: Other states may not recognize the LVN "Thirty-Unit Option" as a method to satisfy the
requirements for licensure as a Registered Nurse. Interested candidates are urged to contact the
respective Boards of Nursing for additional information.
Application for Admission to the 30 Unit Option will require a meeting with the program director.
All requirements and testing must be met with a satisfactory grade. Satisfactory completion and
program admission is determined by the program director.
22
SAN DIEGO CITY COLLEGE
NURSING EDUCATION CALIFORNIA BOARD OF REGISTERED NURSING
CALIFORNIA CODE OF REGULATIONS 1429
Licensed Vocational Nurse California
According to the California Board of Registered Nursing: Laws Related to Nursing Education
Licensure - Practice: 1429
A Licensed Vocational Nurse shall be eligible to apply for examination for licensure as a Registered
Nurse under this chapter provided the applicant has successfully completed the courses prescribed by
the Board of Registered Nursing and meets all the other requirements.
1. Each applicant for admission to and progression in the registered nursing program shall be
evaluated by the accredited school on an individual basis. The additional education required of
licensed vocational nurses to take the registered nurse licensing examination shall not exceed a
maximum of thirty (30) semester or forty-five (45) quarter units. Courses required for
vocational nurse licensure do not apply to the additional education required for a licensed
vocational nurse wishing to take the registered nurse licensing examination. However, other
courses comparable to those required for licensure as a registered nurse may apply toward the
additional education required of the licensed vocational nurse wishing to take the registered
nurse licensing examination.
2. Nursing courses shall be taken in a school accredited by the Board of Registered Nursing and
shall be beyond the course equivalent to the first year of professional nursing courses. The
nursing content shall include nursing intervention in acute, preventive, remedial, supportive,
rehabilitative and teaching aspects of nursing. Theory and courses with concurrent clinical
practice shall include the following areas of nursing: Advanced Medical-Surgical, Mental
Health, Psychiatric and Geriatric Nursing. In addition, the nursing content shall include
basic standards for competent performance prescribed in Section 1443.5 of the California
Nurse Practice Act.
3. The applicant shall show evidence of successful completion of courses or successful challenge
of courses in Physiology and Microbiology comparable to such courses required for licensure
as a registered nurse.
4. A determination by an accredited school of the prerequisite courses that must by taken by each
individual shall be based on an analysis of each individual's academic deficiencies,
irrespective of the time such courses were taken.
5. Each applicant shall submit evidence satisfactory to the board that the above requirements have
been completed as determined by the school, college, or university attended by the applicant.
Such evidence shall include submitting a transcript as a requirement for taking the licensing
examination.
6. Licensed Vocational Nurses who select the "30 Unit Option" method to satisfy the
requirements for licensure as a Registered Nurse must declare their intent on the application
for admission to the nursing program. The applicant may not reverse their decision of
declaring the "30 Unit Option" method once they have begun any nursing course.
7. Other states may not recognize the LVN "Thirty-Unit Option" as a method to satisfy the
requirements for licensure as a Registered Nurse. Interested candidates are urged to contact
the respective Boards of Nursing for additional information.
23
SAN DIEGO CITY COLLEGE
NURSING EDUCATION PROGRAM RESOURCES
Students are highly encouraged to take advantage of the following program resources. The resources
listed are present within the nursing education department.
Students are encouraged to visit the CITY COLLEGE STUDENT SERVICES website for a
complete listing of college resources and information about the college resources available.
http://www.sdcity.edu/CollegeServices
1. NURSING COUNSELOR: Laura Renker
2. NURSING SUCCESS ADVISOR: Terri Francis
3. COLLGE LIBRARY
The San Diego City College library subscribes to a number of online databases, with full-text options
to many nursing journals. This is available to students currently enrolled at City College, 24 hours a
day / 7 days a week, online, via the City College Library home page databases link at:
http://www.sdcity.edu/lrc/library/libraryhome.asp
When you go to the address you will need a User name and a Password which must be obtained from
the library, as it changes every six months.
4. ASSESSMENT TECHNOLOGY INSTITUTE (ATI)
Assessment Technologies Institute (ATI) offers an assessment driven review program designed to
enhance student academic and NCLEX-RN success. The comprehensive program offers multiple
assessment and remediation activities. These include assessment indicators for academic success,
critical thinking and learning styles, online tutorials, online practice assessments and proctored
assessments over the major content areas in nursing. ATI information and orientation resources can
be accessed from the ATI student home page.
5. NURSING SKILLS LAB
6. NURSING SIMULATION LAB
7. PEER TUTORING/PEER MENTORING
8. LENDING LIBRARY
The following procedure has been developed to ensure equal access for all participating students:
a) A designated faculty member or instructional assistant will be available to assist students with
their needs.
b) A maximum of two (2) books may be checked out for a maximum of 2 weeks. Should more than
one edition of a current text be available in the library, arrangements may be made with the
faculty advisor or instructional assistant to check these out for longer periods of time.
c) Students are expected to return books on the appropriate date. Should this not occur, lending
library privileges will be revoked for the remainder of the current semester. Lost, stolen or
defaced items must be replaced by the student.
24
9. SCHOLARSHIPS
A variety of corporate scholarships and private grants are available to nursing students. Information can be obtained from the Dean of Student Affairs Office, D-105. Notices of upcoming scholarships are also posted on the Student Bulletin Boards within the nursing department and included in the Student Bulletins distributed by the office of Student Affairs.
Additional web sites that may be helpful include:
After College.com: http://www.aftercollege.com/healthcare/
American Nurses’ Association: http://nursingworld.org/
California Institute for Nursing and Health Care (CINHC): http://www.choosenursing.com/
FinAid!The Smart Student Guide to Financial Aid: http://www.finaid.org/
Johnson & Johnson: http://www.discovernursing.com/
Minority Nurse: http://www.minoritynurse.com
San Diego County Hispanic Chamber of Commerce: http://www.sdchcc.com
Scholarship Search: http://www.fastweb.com
Sigma Theta Tau: http://www.nursingsociety.org/Pages/default.aspx
The National Student Nurses’ Association: http://www.nsna.org/
The U.S. Department of Education: http://studentaid.ed.gov/guide
College Foundation can be found online at: http://www.sdcity.edu/scholarships/default.asp In
addition, you can check the Internet for additional information regarding funding/scholarship
opportunities (Use your Web browser to find the Google search engine and type in the words
“Nursing Scholarships”. You will be directed to a variety of helpful sites)
10. CALIFORNIA COLLABORATIVE MODEL OF NURISNG EDUCATION (CCME)
A variety of streamlined options are available for students to obtain their BSN degree. This model is
specific to the articulation opportunities of students to attend CSU SDSU. The program has a variety
of articulation agreements with a number of baccalaureate programs. Point Loma Nazarene University
holds evening classes for City College ADN graduates pursuing their BSN degree.
25
Program Policies/Procedures
Standards of the Profession
26
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
NURSES’ CODE OF ETHICS
The development of a code of ethics is an essential characteristic of a profession and provides the
means whereby professional standards may be established, maintained and improved. A code
indicates a profession's acceptance of the responsibility and trust with which it has been invested.
Each practitioner, upon entering a profession, inherits a measure of that responsibility and trust, and
the corresponding obligation to adhere to standards of ethical practice and conduct set by the
profession.
The Code of Ethics, adopted by the American Nurses’ Association, is intended to serve as a guide to
the ethical principles that should govern the individual practitioner’s nursing practice, conduct and
relationships. Each nurse has an obligation to uphold and adhere to the code in his/her individual
practice and to ensure that colleagues do likewise.
THE PROFESSION OF NURSING PRACTICE
The profession of nursing shares responsibility with other health professions for meeting the health
needs of society. Members of the health team collaborate to define health care delivery systems and
to participate in their evaluation and improvement. Nursing practice includes the promotion,
restoration, and maintenance of an optimal state of health for individuals, families, groups and the
community.
The education of persons pursuing careers in a profession encompasses certain beliefs and traditions
as well as specific knowledge and skills, among which are the development of the following:
1. Specialized knowledge and skills unique to the profession and basic to the service to be
performed.
2. The ability to make independent judgments, which require a high level of intellectual knowledge.
3. A social and ethical commitment to perform the basic service in an altruistic manner.
4. The desire and ability to continue to augment knowledge and skills throughout life and to extend
the boundaries of the professional arts and sciences.
5. Personal qualities necessary to expand intellectual and cultural horizons, to live productively in
society and to mature as an individual.
.
27
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
AMERICAN NURSES ASSOCIATION CODE OF ETHICS FOR NURSES
1. The nurse, in all professional relationships, practices with compassion and respect for the
inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of
social or economic status, personal attributes or the nature of health problems.
2. The nurse’s primary commitment is to the patient, whether an individual, family, group or
community.
3. The nurse promotes, advocates for, and strives to protect the health, safety and rights of the
patient.
4. The nurse is responsible and accountable for individual nursing practice and determines the
appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient
care.
5. The nurse owes the same duties to self as to others, including the responsibility to preserve
integrity and safety, to maintain competence and to continue personal and professional growth.
6. The nurse participates in establishing, maintaining and improving health care environments and
conditions of employment conducive to the provision of quality health care and consistent with
the values of the profession through individual and collective action.
7. The nurse participates in the advancement of the profession through contributions to practice,
education, administration and knowledge development.
8. The nurse collaborates with other health professionals and the public in promoting community,
national and international efforts to meet health needs.
9. The profession of nursing, as represented by associations and their members, is responsible for
articulating nursing values, for maintaining the integrity of the profession and its practice, and for
shaping social policy.
The Code of Ethics for Nurses provides a framework for nurses to use in ethical analysis and
decision-making. The Code of Ethics establishes the ethical standard for the profession. It is not
negotiable in any setting nor is it subject to revision or amendment except by formal process of the
House of Delegates of the ANA. The Code of Ethics for Nurses is a reflection of the proud ethical
heritage of nursing, a guide for nurses now and in the future. Adapted from the American Nurses'
Association: Code of Ethics for Nurses with Interpretive Statements, 2001, Washington, DC.
Nursing students at San Diego City College are expected to uphold and adhere to the ANA
Code of Ethics.
28
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
ADMISSION TO THE NURSING EDUCATION PROGRAM
Effective: 8/1/2010
Reviewed: 6/2015
Revised: 11/2016
Associate Dean, San Diego City College, Nursing Education Program
POLICY: San Diego City College will admit qualified applicants to the Nursing Program using a
competitive admission process including a multi-criteria screening tool that includes, but is not limited
to, prerequisite Grade Point Average (GPA), a fixed set GPA, Exam of Essential Academic Skills
(TEAS) score, degrees, work experience, life experience and second language proficiency. Grid with
point values for admission screening is available at:
http://www.sdcity.edu/Portals/0/AcademicPrograms/ProgramsofInstruction/Nursing/2013/3649_Admis
sion_points_forwebsite_8-7-2013.pdf . Informational nursing workshops are offered once a month
throughout the year. Prospective students are encouraged to attend. Dates and times are listed on the
Nursing Education Program website.
Each student must assume responsibility for compliance with the regulations set forth in the San Diego
City College Catalog, for satisfying all course prerequisites and for selecting those general education
courses which would allow the student to attain his/her educational objectives, namely the completion
of the nursing education program and the fulfillment of all requirements for the Associate of Science
Degree.
PROCEDURE: Prospective students must:
1. Print an online application from SDCCD website:
https://applyonline.communitycollege.net/studentappview.cfm
2. Submit college transcripts to the transcript office by mail or in person to:
SDCCD
Attn: Transcript Office Room 100
3375 Camino Del Rio South
San Diego, CA 92108
3. Request an evaluation by the evaluations office (619 388-3466). [The evaluation could take 8 to
12 weeks.]
4. When notified that transcripts have been evaluated, email the nursing counselor, Laura Renker:
[email protected] to obtain results of the evaluation. Include your student ID.
Submit nursing application (available at: http://www.sdcity.edu/nursingeducation) with all the required
documentation to the Nursing Department office during the application period. Mailed applications
must be in the Nursing Department by the final date of acceptance. Postmarks do not apply.
Applications MUST be complete at the time of submission or will not be considered for admission. No
exceptions.
Application for Admission to the 30 Unit Option will require a meeting with the program director. All
requirements and testing must be met with a satisfactory grade. Satisfactory completion and program
admission is determined by the program director.
29
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
STUDENT RESPONSIBILITIES AND PROGRAM REQUIREMENTS
RESPONSIBILITY FOR MEETING PROGRAM REQUIREMENTS
Each student must assume responsibility for compliance with the regulations set forth in the San
Diego City College Catalog, for satisfying all course prerequisites and for selecting those general
education courses which would allow the student to attain his/her educational objectives, namely the
completion of the Nursing Education Program and the fulfillment of all requirements for the Associate
of Science Degree.
APPROXIMATE EXPENSES
TEXTBOOKS
Approximate total cost is $1500 for all (4) semesters
ATI
Assessment Institute of Technology (ATI) Diagnostic Testing and Remediation. There is a (4)
payment plan: ATI will provide online student payment codes based on the student enrollment. Total
cost is $2100. Payments are made directly on the ATI website: www.atitesting.com
Fall semester I
payment due July 15th $525
Spring semester II
payment due December 15th $525
Fall semester III
payment due July 15th $525
Spring semester IV
payment due December 15th $525
TUITION & FEES
See College Catalog and current class schedule for specific details.
AMERICAN DATA BANK/ COMPLIO BACKGROUND CHECKS / URINE DRUG
SCREENING AND COMPLIANCE PACKAGE
Costs incurred by the student to comply with the medical history and physical and background check
policy are approximately $150
30
APPROXIMATE EXPENSES continued
DUES
The annual dues for the Associate Degree Student Nurses' Association (ADSNA) shall be set by the
executive board. The dues are generally used by the class for the following: National Student
Nurses’ Association (NSNA) participation, charitable functions, completion ceremony and fund
raising. Appropriation of funds is voted by the class. The executive board shall determine when and
how the dues will be paid. Any member who does not pay dues is required to pay for any student
expenses for which funds of the association are appropriated. Amount to be determined by each
cohort and the ADNSA Officers. Total dues can range from $50-$200
IDENTIFICATION BADGES
Students are required to wear a picture identification name badge to all clinical facilities.
Arrangements have been made for the acquisition of these badges at a cost of $5 each. Lost badges
must be replaced and cost $5 each.
UNIFORMS
To maintain a consistent professional appearance, students are required to purchase a uniform made
especially for San Diego City College nursing students by Dove Professional Apparel. Each student
must purchase a RED colored top with BLACK pants; a white lab coat is optional but if purchased
must be Dove as well; the length of the lab coat is the student’s choice (One uniform is required; two
sets of basic tops and bottoms are recommended).
The approximate cost of each uniform is between $70.00-$150. Patches, required on the left sleeve
of each uniform and lab coat, may be purchased for $4.00 each through the uniform company.
Accessories, such as stethoscope, scissors, penlight, safety goggles, etc. are also required.
LICENSE APPLICATION FEES
The Registered Nursing licensing application costs are approximately $475.00 (All fees are subject
to governmental regulations and may be changed at any time). These fees are paid to the California
Board of Registered Nursing and Pearson Vue upon program graduation.
TRANSPORTATION
Enrollment in the Nursing Education Program includes clinical laboratory placement at health care
facilities in various locations throughout the county. It is the student's responsibility to provide
transportation to meet scheduled class activities. Transportation is not provided by the College.
CPR
Each student must be certified in Basic Life Support (CPR), via the American Heart Association,
prior to beginning the nursing program. It is the student's responsibility to renew this certificate and
maintain its currency throughout the program.
31
SAN DIEGO CITY COLLEGE
NURSING EDUCATION HEALTH REQUIREMENTS
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: A Student Health Center is maintained on campus. A nurse practitioner, a physician and a
clinical psychologist are available to provide health screening and mental health services and resource
information.
Students must be in adequate physical and mental health. The required physical examination must be
performed by a medical doctor or a nurse practitioner of the student's choice or in the Student Health
Center. Required immunizations may be obtained at the public health department, Student Health Center or
through a private physician.
A Students' Reimbursement Insurance Plan, in addition to the On-Campus Accident and Emergency
Sickness Insurance which is mandated, may be obtained at the time of enrollment. Students are also
covered by Worker's Compensation should injury occur on campus and/or off-campus sites. For further
information, see College Catalog.
32
SAN DIEGO CITY COLLEGE
NURSING EDUCATION ACADEMIC ACCOMMODATION
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: City College provides academic accommodations and services for students with disabilities
in compliance with State and Federal legislation including Section 504 and 508 of the Rehabilitation
Act of 1973, and the Americans with Disabilities Act Amendments Act (ADAAA).
Eligible students who have a verified disability qualify for academic accommodations and services
through the Disability Support Programs and Services (DSPS) department. Student participation in the
DSPS program is voluntary. Academic accommodations and services are designed to support students
enrolled in on-campus, online, and clinical setting courses in the achievement of their academic and
vocational goals. Educational Assistance classes for students with disabilities may be available to
support the college academic and vocational programs through DSPS and the High Tech Center.
Academic accommodations provided may include, but are not limited to: priority enrollment, assistive
technology and alternate media, interpreters and captioning for students who are deaf or hard of
hearing, note taking materials, test taking accommodations, audio recorders, use of specialized
equipment and adaptive devices, and disability related counseling and referral. Liaison with
community agencies is also an important component of the program. The campus is physically
accessible. Students are encouraged to apply early for timely services. Contact the San Diego City
College Disability Support Programs and Services Office for more information.
33
SAN DIEGO CITY COLLEGE
NURSING EDUCATION PHYSICAL AND MENTAL ABILITIES FOR NURSES
Effective:
Reviewed: 4/2016
Revised: 8/4/2017
Associate Dean, San Diego City College, Nursing Education Program
The National Council of State Boards of Nursing has identified skills and activities as common to all
practicing nurses. The following describes physical and mental abilities required to be able to perform
the core skills and activities essential to the practice of nursing. The San Diego City College nursing
faculty believes that student nurses should have these abilities with or without reasonable and
appropriate accommodations.
Students who are otherwise qualified and have a documented disability that will require
accommodation to perform the core skills and activities listed above, must contact the Disability
Support Programs and Services (DSPS) office to request accommodations. Accommodations will be
determined on an individual basis through an interactive process, and possible consultation with a
representative of the Nursing Department to help identify reasonable accommodations for the specific
course, activity and/or clinical environment. Accommodations must not include any change to
curriculum or course of study that is so significant that it alters the required objectives or content of the
curriculum in the approved course outline, thereby causing a fundamental alteration, or significantly
affect the safety of patient care or others. In addition, the Nursing Education department is unlikely to
conclude that a surrogate for a nursing student can be considered a reasonable accommodation to
perform any of the core skills and activities listed above.
I understand that admission, progression, and graduation are contingent upon the ability of each
individual to demonstrate the functional abilities with or without reasonable accommodations.
Signature ___________________________________________ Date______________________
34
Functional Ability Core Performance Standard (Rationale Examples)
Gross Motor Skills Move within confined space (patient rooms)
Sit and maintain balance (patient rooms, procedures)
Stand and maintain balance (patient rooms, surgery, procedures)
Reach above shoulders (hang IV bags)
Reach below waist (plug-ins)
Fine Motor Skills
Pick up objects with both hands (bedpans, procedures)
Grasp small objects with both hands (sterile procedures, dressing changes, medication packages)
Write with pen or pencil (documentation, labeling) Key/type or use a computer (documentation)
Pinch/pick or otherwise work with fingers of both hands (syringes, catheters) Twist
with both hands (turn knobs, open solutions)
Squeeze with fingers with both hands (eye dropper)
Physical Endurance Stand (at patient’s side during procedure)
Sustain repetitive movement (CPR)
Maintain physical tolerance (CPR, work up to 12 hour shift)
Physical Strength Push and pull 25 pounds (position patients)
Support 25 pounds of weight (ambulate patient)
Lift 25 pounds (transfer patient or lift pediatric patients)
Move light objects up to 10 pounds (medical equipment)
Move heavy objects weighing from 10 to 50 pounds
Defend self against combative patient
Carry equipment/supplies
Use upper body strength (CPR, restrain a patient)
Squeeze with both hands (fire extinguisher, medication containers)
Mobility Twist (reach head of bed and other sections without moving)
Bend (patient assist)
Stoop/squat (chest tube or Foley containers)
Move quickly (assist unstable patient)
Climb (ladder, stools, stairs)
Walk (room to room to nurse’s station)
Visual See objects up to 20 inches away (medical equipment and patient)
See objects more than 20 feet away (down the hallway)
Use depth perception (assess wounds)
Use peripheral vision (find objects in the hospital room)
Distinguish color (medication bottles and electronic medical record codes)
Distinguish color intensity (electronic medication alerts)
Tactile Feel vibrations (pulses)
Detect temperature (inflammation)
Feel differences in surface characteristics (skin turgor)
Feel differences in sizes, shapes (palpate vein)
Detect environmental temperature (patient comfort)
Hearing Hear normal speaking level sound (patient and staff communication)
Hear faint voices (weak patients or those with quiet voices) Hear faint body sounds (BP, heart and bowel sounds) Hear in situations not able to see lips (when using masks) Hear sound alarms (monitors, IV pumps, fire)
Emotional Stability Establish therapeutic boundaries (patient safety)
35
Provide patient with emotional support (caring attitude) Adapt to changing environment/stress (function in varied situations)
Deal with unexpected (crisis)
Focus attention on task (timing and precision of skills) Monitor own emotions (work with patients who are sick and dying) Perform multiple responsibilities concurrently (more than one patient) Handle strong emotions (grief)
Analytical Thinking Transfer knowledge from one situation to another (prevent complications) Skills Process information (intervene when medical tests or assessment findings are abnormal)
Evaluate outcomes (nursing process) Problem solve (with care team and patient) Prioritize tasks (nursing process) Use long term memory (give report to next shift) Use short term memory (vital signs to be documented)
Critical Thinking Identify cause and effect relationships (side effects or changes in patient condition) Skills Plan/control activities for others (multi-task)
Synthesize knowledge and skills (perform within scope of practice) Sequence information (correctly prioritize patient’s needs)
Interpersonal Skills Negotiate interpersonal conflict (collaborate with others)
Respect differences in patients (embrace diversity) Establish rapport with patients (develop therapeutic relationships) Establish rapport with co-workers (demonstrate civility)
36
SAN DIEGO CITY COLLEGE
NURSING EDUCATION STUDENT AND FACULTY COMMUNICATION
Effective:
Reviewed: 08/4/2016
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students have the opportunity to communicate their ideas, suggestions and/or
concerns associated with the Nursing Education Program by:
1. Speaking directly to a faculty member or department chair
2. Attending the Student/Faculty Forum
3. Completing the anonymous online Survey Select End of Course Evaluations
4. Communicating ideas with designated student representative to attend and present during
program faculty meetings
5. Speaking directly with the Associate Dean/Director of the Nursing Education Program.
37
SAN DIEGO CITY COLLEGE
NURSING EDUCATION STUDENT RESPONSIBILITIES AND CODE OF CONDUCT
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Nursing students at San Diego City College are expected to adhere to The San Diego
Community College District Policy 3100, American Nurses Association Code of Ethics and Nursing
Education Departmental policies.
San Diego Community College District - Policy 3100
2.1 STUDENT RESPONSIBILITIES
Student behavior must remain in accordance with specific academic and behavior
requirements as specified in District policy and which may be outlined by the course
syllabus.
2.2 Students shall be responsible for defining and making progress toward their educational goal.
2.3 Students are responsible for reading and adhering to the policies and procedures as
outlined in catalogs, schedules, course syllabi and other official printed materials.
2.4 Students with verified disabilities who believe they need academic adjustments or
auxiliary aids are encouraged to identify themselves to their instructors to discuss the details
and timelines necessary to provide appropriate accommodation. Students are responsible for
providing written verification of their disability to the instructor upon request.
Students are subject to adhering to the policies and procedures of the San Diego Community College
District, as well as all federal, state and local laws. Students are subject to charges of misconduct
concerning, but not limited to, the following acts when committed on District-owned or controlled
property or at District-sponsored activities.
3.2 The taking of and passing off as one’s own the work or ideas of another: plagiarism and academic cheating.
3.3 Falsification, alteration or misuse of campus/District documents and records.
3.4 Act or threat of damage to or theft of property belonging to or located on District- controlled
property or facilities.
3.5 The physical or verbal disruption of instruction or student services activities,
administrative procedures, public service functions, authorized curricular or co- curricular activities
or prevention of authorized guests from carrying out the purpose for which they are on campus.
3.6 The physical or verbal intimidation or harassment of such severity or pervasiveness as to have the
purpose or effect of unreasonably interfering with a student's academic performance, or a District
employee's work performance, or of creating an intimidating, hostile or offensive educational or work environment.
3.7 Disorderly, lewd, indecent or obscene conduct or expression or habitual profanity or vulgarity;
any expression which is obscene, libelous or slanderous according to current legal standards or which
38
so incites students as to create a clear and present danger of the commission of unlawful acts or the
substantial disruption of the orderly operation of the community college (Ed. Code 76120).
3.8 Assault, or battery upon a student or district personnel on district premises or at any time or place while under the authority of District personnel.
3.9 Participation in hazing (California Education Code Section 32050 through 32052).
3.10 Possession of weapons, explosives, unlicensed dangerous chemicals or objects which may be
used as weapons or to threaten bodily harm, as specified in the California Penal Code or other applicable laws.
3.11 Participating in activities, which are in violation of federal, state or local laws or ordinances while on district premises or at district-sponsored or supervised activities.
3.12 Failure to comply with directions of staff members of the district who are acting within the
scope of their employment. Continued and willful disobedience or open and persistent defiance of the
authority of district personnel providing such conduct is related to district activities or college/center attendance.
3.13 Smoking on District premises, or vehicles provided by the district used for transporting
students; except as permitted by applicable ordinances, laws, college guidelines and District procedure 0505.2.
3.14 Use, possession or distribution of alcoholic beverages on campus except as permitted by law. Violation of Policies and Procedures for Student Organizations as enumerated in Manual 3200.
3.15 Use, possession or distribution of narcotics or other hallucinogenic drugs or substances or
inhaling or breathing the fumes of, or ingesting, any poison classified as such by the California
Business and Professions Code Section 4160, Schedule "D", except as provided by law, is prohibited when on district premises.
3.16 Violation of Policies & Procedures for Student Organizations as enumerated in Manual 3200.
http://www.sdccd.edu/docs/policies/Student%20Services/BP%20320 0-01.pdf
39
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
INTEGRITY AND PROFESSIONAL ETHICS
Effective 8/2003
Reviewed 5/2017
Revised
Associate Dean, San Diego City College, Nursing Education Program
INTEGRITY
Integrity may be defined as an uncompromising adherence to a code of moral, artistic or other
personal/professional values. Integrity is also viewed as absolute sincerity, honesty, candor
and the avoidance of deception (Webster’s 3rd
New International Dictionary).
The faculty and staff of San Diego City College believe that integrity is one of the fundamental
bases for the academic and professional nursing communities. Accordingly, the faculty’s goal
is to assist all students in defining acceptable standards of professional behavior. Plagiarism
is unacceptable. All APA papers will be submitted electronically to SafeAssign for
identification of any plagiarism.
40
Definition of Plagiarism:
a. Verbatim copying without proper acknowledgement;
b. Paraphrasing without proper acknowledgement;
c. Putting together a "patch-work" paper from diverse sources, without proper acknowledgement of those sources;
d. Unacknowledged appropriation of information or of someone else's ideas.
e. Copying another’s written assignment and submitting it as one’s own Some other examples of
unprofessional behavior include, but are not limited to:
Definition of Cheating: a. Getting examination or quiz questions from someone who has previously taken the examination or quiz;
b. Copying from someone else’s examination or quiz paper or receiving answers from another student during an examination or quiz;
c. Allowing someone to copy from an examination or quiz paper or giving answers to another student during an examination or quiz;
d. Using notes, books, etc., during a closed book examination or quiz;
e. Taking an examination or quiz for another student;
f. Turning in a paper purchased from a commercial research firm;
g. Turning in an assignment that was done entirely or in part by someone else;
h. Doing a homework assignment for another student.
Definition of Breach of Professional Ethics (may include but is not limited to):
a. Not reporting an incident involving a patient;
b. Failing to provide information to a patient about treatments, medications or recommended health
behaviors;
c. Recording medications, treatments or observations as done when they were not;
d. Falsifying any record.
e. Discussing patients in public places or with anyone not directly involved in patient’s care;
f. Eating food intended for or belonging to a patient;
g. Breaking something that belongs to a patient and not reporting it;
h. Taking hospital equipment;
i. Taking medications from the hospital for personal use;
j. Not questioning an order when in doubt.
Students will maintain confidentiality and integrity regarding examinations/diagnostic testing at all
times. Sharing information related to any examinations or ATI diagnostic assessments is a
violation of integrity and the Code of Conduct. Any violation of confidentially may result in
dismissal from the Nursing Education Program. Any student caught cheating on an examination
will receive a grade of zero (0) for that examination. Dismissal from the program without
possibility of readmission results in any violation of the Integrity and Professional Ethics Policy.
41
SAN DIEGO CITY COLLEGE
NURSING EDUCATION GENERAL COMPLAINT AND ADMINISTRATIVE DUE PROCESS
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
Disability Support Programs and Services San Diego Community College District
POLICY: A general student complaint may be filed by a student who feels an action of a
College staff member, office, or group violates existing College San Diego City College
Academic Information and Regulations rules, policy, or procedures or other local, state, and
federal laws. A complaint of gender discrimination or sexual assault or harassment is not
included in this category; please see Title IX complaint below. The complaint procedures are
formalized procedures to ensure timely resolution at the lowest possible level. The first step is
the informal resolution stage, which involves the student who has a complaint and the
faculty/staff member or specific group with whom the student has a complaint. The student must
notify the faculty/staff person or representative of a group that he or she wishes to make an
appointment for an informal meeting to review an action. In the absence of the instructor or staff
person and after a good faith effort to make contact, the student may directly contact the
instructional dean or appropriate administrator or submit their complaint
online:https://studentweb.sdccd.edu/index.cfm?action=complaint&tab=1.
San Diego City, Mesa, and Miramar Colleges are committed to an educational environment that
is free from interference and disruption, and that fosters equity and mutual respect. Students may
file a complaint when they believe that a College faculty or staff member has violated the
following Board Policies and Administrative Procedures:
1. Student Rights, Responsibilities, Campus Safety and Administrative Due Process: Policy 3100
2. Student Grievance: Procedure 3100.1
3. Student Discipline: Procedure 3100.2
4. Honest Academic Conduct: Procedure 3100.3
5. Academic Accommodations and Disability Discrimination for Students with Disabilities:
Procedure 3105.1
6. Prohibition of Harassment: Policy 3430
7. Nondiscrimination: Policy 3410
8. Fraud/Whistle Blower: Policy 6125
9. Grade Challenge: Procedure 3001.2
Board Policies and Administrative Procedures are available to Individuals online at
http://www.sdccd.edu/public/district/policies/. Most complaints, grievances or disciplinary
matters should be resolved at the campus level. Individuals are strongly encouraged to make
every attempt to resolve matters through the appropriate administrative processes. More
information on the complaint processes can be found online at:
https://studentweb.sdccd.edu/index. cfm?action=complaint&tab=1.
42
SAN DIEGO CITY COLLEGE
NURSING EDUCATION ACADEMIC ACCOMMODATION DUE TO DISABILITY COMPLAINT
(Section 504/ADA)
Effective:
Reviewed: 08/4/2016
Revised:
Associate Dean, San Diego City College, Nursing Education Program, Director
Disability Support Programs and Services San Diego Community College District
Students who have a complaint regarding access to, or quality of, their academic
accommodations may contact the DSPS counselor. Students may submit a complaint online at
https://studentweb.sdccd.edu/ index.cfm?action=complaint&tab=1 or contact the campus 504
Officer. Students with disabilities who want to file a formal complaint under Section 504 of the
1973 Federal Rehabilitation Act and Americans with Disabilities Act (ADA) may do so online
at: https://studentweb.sdccd.edu/index.cfm?action=complaint&tab=1 or contact:
Campus 504 Officer San Diego City College (B-201)
Nesha Savage [email protected] (619) 388-3709
43
SAN DIEGO CITY COLLEGE
NURSING EDUCATION UNLAWFUL HARASSMENT OR DISCRIMINATION BASED ON SEX OR
GENDER
Effective:
Reviewed: 08/4/2016
Revised:
Associate Dean, San Diego City College, Nursing Education Program
Disability Support Programs and Services San Diego Community College District
San Diego City, Mesa and Miramar Colleges are committed to providing an academic
environment free of unlawful harassment and unlawful discrimination. Board Policy 3100
defines verbal, physical, visual or written, environmental and harassment and other forms of
harassment on campus, and sets forth a procedure for the investigation and resolution of
complaints of harassment by or against any staff, or faculty member, or student within the
District.
You may view a full copy of the policy by accessing the following website:
http://www.sdccd.edu/public/district/policies/. These procedures are used when a complaint
concerns matters of discrimination or failure to comply with College policy or procedures or
federal and/or state regulations including the Civil Rights Act; Executive Orders 11246 and
11375; the Vietnam Era Veterans Readjustment Act of 1974; the Age Discrimination and
Employment Act of 1967; Section 504 of the 1973 Federal Rehabilitation Act and Americans
with Disabilities Act (ADA); and the nondiscrimination laws of the State of California. Students
who wish to file a complaint may do so online at: https://studentweb.sdccd.edu/index.
cfm?action=complaint&tab=1 or contact your college Site Compliance Officer (SCO): San
Diego City College (E-Building) Edwin Hiel [email protected] (619) 388-3036
44
SAN DIEGO CITY COLLEGE
NURSING EDUCATION STUDENTS IMPAIRED BY ALCOHOL, DRUG ABUSE OR EMOTIONAL
ILLNESS
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The nursing education faculty of San Diego City College agrees with the California Board
of Registered Nursing concerning students impaired by alcohol, drug abuse and emotional illness.
The Board of Registered Nursing recognizes that:
1. these are diseases and should be treated as such;
2. personal and health problems involving these diseases can affect one's academic and
clinical performance and that the impaired nursing student is a danger to self and a grave
danger to the patients in their care;
3. nursing students who develop these diseases can be helped to recover;
4. it is the responsibility of the nursing student to voluntarily seek diagnosis and treatment
for any suspected illness;
5. confidential handling of the diagnosis and treatment of these diseases is essential.
The nursing faculty encourages students to seek immediate help. We realize that such problems, if
left unattended could prevent the student from satisfactorily completing course objectives and
prevent licensure to practice nursing in the State of California. In addition, it shall be the policy of
San Diego City College to prohibit the use of illicit drugs/substances by students in any District
sponsored activity. These activities include use of classrooms, lounges, satellite units and facilities
designated as clinical areas. Any infraction of this regulation by a student will be grounds for
absolute dismissal from the Nursing Education Program.
Any behavior by a student that is indicative of possible abuse of drugs must be reported and recorded
by faculty, promptly. Should a student report to a clinical facility "under the influence", such
behavior should be considered as unsafe and grounds for immediate dismissal from the clinical area
and the nursing program. (A family member or significant other may need to be called to remove this
person from the area, or in extenuating circumstances, the student will be sent to a hospital
emergency room). A continued pattern of unsafe behavior will be grounds for dismissal from the
Nursing Education Program.
For students identified as impaired, a statement must be submitted from an approved, recognized
drug treatment program validating attendance and treatment. This statement must be submitted in
writing to the Director of Nursing Education for clearance to reapply to the nursing program.
Final disposition and recommendation for dismissal or retention must be handled according to
District Policy 3100, requiring a hearing initiated by the Dean of Student Affairs.
45
SAN DIEGO CITY COLLEGE
NURSING EDUCATION STANDARDS FOR WRITTEN WORK
Effective: 05/01/2017
Reviewed:
Revised: 03/24/2017
Associate Dean, San Diego City College Nursing Education Program
POLICY: It is expected that all submitted class assignments demonstrate college level grammar and
correct spelling. Utilization of standardized term paper guidelines, according to the American
Psychological Association format of Editorial Style (APA), is required for all written work.
PROCEDURE:
1. Scholarly papers will follow APA guidelines and begin with a title page, name of
student and San Diego City College.
2. Abstracts and reference pages are required for all research papers. The rubric will
identify the need for an abstracts, headings, or reference pages in other assignments.
3. Soiled, blotted, unclear printing or generally untidy papers are unacceptable and will be
returned to the student ungraded. Resubmission will have a maximum grade of 75%.
4. Assigned written work will be due on the dates/hours specified by the instructor or
designated teaching team. (Refer to guidelines within the course syllabus).
5. If a student is unable to come to class the day assignment is due, it is his/her responsibility to
make other arrangements for submission of work.
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
LATE PAPERS AND LATE ASSIGNMENTS
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
LATE PAPERS
The penalty for late graded written assignments will be 5% per day.
46
SAN DIEGO CITY COLLEGE
NURSING EDUCATION STUDENT ILLNESS OR INJURY
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: For the protection of students, patients, clinical personnel and faculty, the following
procedure must be adhered to:
PROCEDURE:
1. Injury in the class, lab or clinical setting must be reported immediately to the nursing faculty so
that necessary care can be initiated with appropriate facility and college documentation. Visit the
Nursing Education website for the District Forms when students are injured at:
http://www.sdcity.edu/AcademicPrograms/ProgramsofInstruction/NursingEducation/StudentFaculty
Forms
2. Any student with a visible injury or illness involving a potential communicable disease will be
required to furnish a clearance statement from the physician before returning to the class by the next
day of attendance.
47
SAN DIEGO CITY COLLEGE
NURSING EDUCATION SOCIAL NETWORK SOCIAL MEDIA CONDUCT
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: San Diego City College Nursing Education is committed to protecting the Health
Information of every patient with whom a student comes in contact, as well as, the Education
Information of every student. Future employers often review these network sites when considering
potential candidates for employment. No privatization measure is perfect. Information can "live on"
beyond its removal from the original website and continue to circulate in other venues.
Administration may periodically search the internet for breaches in policy. Breach of this policy is in
violation of the Code of Conduct and will be grounds for dismissal from the nursing program.
In the professional role as a care-giver, a nursing student must not:
Present the personal health information of any individual on ANY social site. Removal of an
individual's name does not constitute proper de-identification of protected health information.
Inclusion of data such as age, gender, race, diagnosis, date of evaluation, or type of treatment or the
use of a highly specific medical photograph may still allow the reader to recognize the identity of a specific individual.
Post or discuss any clinical experience or information regarding experience with the clinical agency,
its staff or its patients/patients families on any internet social media site.
Post or discuss any theory or ATI examination questions.
Present yourself as an official representative or spokesperson for the San Diego City College Nursing Department.
Utilize websites and/or applications in a manner that interferes with your clinical commitments.
Display of language or photographs that imply disrespect for any individual or group because of age,
race, gender, political views, ethnicity or sexual identity.
Presentation of information that may be interpreted as condoning irresponsible use of alcohol,
substance abuse or sexual promiscuity.
48
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
COMPUTER LAB
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: A computer lab has been established in room V-315D for nursing students’ use. The
nursing faculty encourages all students to take advantage of this lab to enhance their learning
experiences.
PROCEDURE:
The Student Services Committee has established the following rules for the computer lab:
This is a learning environment. Please be courteous and respectful so that every student working
independently may concentrate and complete their task.
1. If you leave the computer for any reason you must log out.
2. When using audio materials, please use your own headphones.
3. Food and drinks are NOT ALLOWED in the lab.
4. Set cell phones to off or vibrate.
5. If you have a cell phone, take or make calls outside the room.
6. Do not reconfigure the hardware or software.
7. Software that does not belong to the Nursing Education Department is not allowed to
run or be installed on these computers.
8. Software piracy is a federal offense.
9. If a printer is made available for student use it will be connected to one computer in
lab. Students must bring paper and class must purchase ink cartridges for printer.
10. Students violating these rules will be asked to leave the lab. Continued misuse of the
lab will result in suspension from further lab use.
11. The printer in the computer lab should not be considered the students’ personal printer.
It is expected that students will plan to print assignments prior to arriving for class in
the case that the printer may not be working or the computer lab is unavailable for
student use. If the student fails to do so it will result in the submission of a late paper
or assignment (See policy, pg. 45).
49
SAN DIEGO CITY COLLEGE
NURSING EDUCATION ATTENDANCE POLICY
Effective:
Reviewed:06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Regular attendance in the classroom and clinical area is necessary for students to meet the
stated objectives of the program. Absences may make it impossible for a student to meet course
objectives. Evaluation of theory absences will be based on the student’s ability to meet course
objectives.
PROCEDURE:
1. Students must be on time for all classroom, laboratory and clinical activities. Students who are going to be
late or absent from the classroom or clinical are to notify the Nursing Education office prior to 8:00 a.m.
Students are expected to call (619) 388-3441 each day they are absent for class or clinical.
2. Students who are going to be late or absent from clinical activities are to notify the faculty/facility, prior to
the time lab is scheduled to start, according to directions given by the clinical faculty.
3. A note signed by the student's physician releasing him/her for full duty, must be submitted to the faculty
on the day of return from an absence due to illness of three or more consecutive days. This will be kept as
part of the student's record.
4. A student must be on time for all clinical activities. A student who is late to the clinical area will be
considered tardy. Three instances of tardiness during one course will be considered the equivalent of one
day's absence. Students must report to their clinical instructor as soon as they arrive to their clinical unit at
the hospital.
5. The student who is more than 30 minutes late to clinical will be considered absent for the day and will be
sent home, as any lateness is disruptive to patient care.
6. Students who leave the clinical area early (less than one hour) will be considered tardy. Students who leave
more than one hour early will be considered absent for the day.
7. Students are responsible for all make-up work due to absences from class and must make arrangements
with the faculty for all work missed.
8. Full attendance in the clinical area is expected in order for objectives to be met and to provide adequate
opportunities for evaluation. Repeated absences will in a clinical grade of "Unsatisfactory/Unsafe" for the
course. Two (2) absences in theory and clinical is considered excessive in an 8 week course.
9. Repeated patterns of absences across courses will be reviewed by the Director of Nursing Education.
Continued patterns of tardiness/absenteeism will result in dismissal from the nursing program.
50
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
ABSENCES AND LATENESS RELATED TO EXAMINATIONS
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students are expected to be present for all examinations.
PROCEDURE:
1. If a student is going to be late or absent from a scheduled exam, the Nursing Education
Department and the course professor must be notified, prior to the scheduled exam time.
2. If a student is late for a scheduled exam, he/she will have to wait and take the exam
during the collaborative exam time. The maximum score attainable will be 75% and no
extra points for the collaborative exam will be given.
3. If a student misses an exam and has called in to report the absence, the student must take
the exam on the first day back to campus. The maximum score attainable will be 75%.
4. If the student does not call in the absence, he/she will not be permitted to take the exam
and achieve a zero for that exam. Circumstances causing absences will be evaluated on
an individual basis by the director of nursing, department chair and course coordinator.
5. If the student is more than 5 minutes late to the Proctored ATI testing session, the student
will forfeit that opportunity to take the exam.
6. If the student is absent from the Proctored ATI testing session and DOES NOT CALL
the nursing office and the proctor prior to the exam, this will count as the students’ first
attempt and the student will only be able to take the exam once at the scheduled retake
time.
51
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
EXAM CONFIDENTIALITY
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students will maintain confidentiality and integrity regarding examinations/diagnostic
testing at all times.
Sharing information related to any examinations or ATI diagnostic assessments is a violation of
integrity and the Code of Conduct.
Any violation of confidentially may result in dismissal from the Nursing Education Program. Any
student caught cheating on an examination will receive a grade of zero (0) for that examination.
Dismissal from the program without possibility of readmission results in any violation of the
examination confidentiality.
Refer to the Social Media policy regarding exam confidentiality.
52
SAN DIEGO CITY COLLEGE
NURSING EDUCATION ABSENCES AND CLINICAL MAKE-UP ASSIGNMENTS
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students who are absent from clinical will be required to make-up the absence.
PROCEDURE:
1. First Absence: Submit written make-up assignment and do presentation
2. Second and all subsequent absences: Clinical make-up day.
CRITERIA FOR MAKE-UP ASSIGNMENT
1. Clinical instructor will assign the topic for research, related to the clinical objectives.
2. Student will research topic and write a paper of no less than three typewritten pages, using
at least three sources; must include two current nursing journals & one textbook. 3. Written assignments must follow the standards for written work.
4. Written assignments and oral presentations will be due two weeks after the clinical
absence or before the final exam if less than two weeks. The written assignment will be placed in the student's file.
5. Student will present topic in a clinical post-conference.
6. All make-up assignments must be completed prior to the final exam. If the make-as not
been completed by the final exam, the student will receive an "Incomplete" for the course.
*Exceptions to this policy: make-up assignments cannot be used in Nursing Education 146 & 246; all
clinical time missed in NE 146 & 246 must be made up, hour for hour.
53
SAN DIEGO CITY COLLEGE
NURSING EDUCATION LEAVE OF ABSENCE
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students in good standing may request a temporary leave of absence, of no longer
than one (1) week per year, from the nursing program for the following reasons: pregnancy,
personal or family crisis, financial necessity, etc. Clinical make-up will be assigned at the
discretion of each individual Professor or teaching team.
If more than one week of leave is needed, the student will be advised to withdraw from the
nursing program and return at a later date to repeat the course(s), or complete the stipulated
requirements.
Students who have an approved LOA are exempt from the 75% maximum attainable score on a
missed examination.
54
SAN DIEGO CITY COLLEGE
NURSING EDUCATION PROCTORING IN THE NURSING DEPARTMENT AND
ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES
Effective: 01/27/2017
Reviewed: 01/27/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
Students with disabilities who may need academic accommodation are encouraged to discuss their
authorized accommodation from Disability Support Programs and Services (DSPS) with the Course
Coordinator early in the semester so that accommodations may be implemented as soon as possible.
Three copies of the accommodation letter (Authorized Academic Accommodation) must be presented
to the appropriate faculty each semester.
POLICY: The DSPS office and the Nursing Education Department have U-“knight”ed to offer test
proctoring services that are conveniently located in the V-building. Please note that there are some
limitations to this service, in that if you are utilizing accommodation in addition to extended time and
distraction reduced setting, you may have to receive your proctoring services through the DSPS office to
ensure that all accommodations can be provided. Please speak with your instructor and/or DSPS
counselor to discuss any questions or concerns that you have regarding the test proctoring process and the
nursing Education Department collaboration.
PROCEDURE:
1. The student will notify the Nursing Education Department course coordinator by email of their
desire to utilize DSPS test proctoring services.
2. The Nursing Education Department will contact the DSPS office to schedule and coordinate
proctoring coverage for the exam.
3. The DSPS office/Nursing Education Department will notify the student regarding the start time
and location of the proctored exam.
4. The student must arrive on time and prepared to take the exam at the scheduled proctoring time.
5. Students are expected to meet the Course Clinical Objectives and adhere to the Clinical site
Policies and Procedures.
6. If a student chooses to decline accommodations, the student must notify the Course Coordinator
by email three days prior to the exam.
55
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
NURSING STUDENT BILL OF RESPONSIBILITIES
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
NURSING STUDENTS' BILL OF RESPONSIBILITIES
1. I have the responsibility to come to every class prepared to listen, participate and learn.
2. I have the responsibility to read the assigned textbooks carefully, noting important ideas and
rephrasing concepts in my own words.
3. I have the responsibility to consult with other students, the Professor, a tutor and other resources
whenever I need the extra help.
4. I have the responsibility to understand that the Professor is not principally responsible for the
quantitative representation of my comprehension, and that it is my job to study to the best of my
abilities.
5. I have the responsibility of keeping an open mind and trying to comprehend the information the
Professor is teaching in the classroom or clinical setting.
6. I have the responsibility to do assigned homework with proper attention and thought.
7. I have the responsibility to view my Professor as a partner in my education, not someone who is
intent on causing me pain and frustration.
8. I have the responsibility to understand that I am not the only student in my class and that if I fall
behind in class and all of my questions are not appropriately asked in the classroom setting, that I
have the responsibility of going to my Professor’s office for help.
9. I have the responsibility to act as a competent adult. I have the responsibility to be polite and honest
with my Professor.
10. I have the responsibility of trying to integrate the present nursing content into all aspects of my
professional life.
11. I have the responsibility to accept that my work will be evaluated in terms of what skills any student
in the course is expected to mastery
56
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
DIAGNOSTIC EXAMINATIONS
ASSESSMENT TECHNOLOGY INSTITUTE TESTING (ATI)
Effective:
Reviewed: 08/04/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Standardized Assessments are used in the Nursing Program to assist students with the application
of theoretical content to actual patient-care situations and to facilitate NCLEX-RN preparation.
1. Students must achieve a level II or above on proctored ATI Content Mastery assessments.
2. Students who achieve a below passing score on the retake will receive an Incomplete grade for the
course and must meet with their clinical instructor or course coordinator to set up a remediation plan.
3. Students who achieve a below passing score will have the opportunity to retake the ATI exam a
second time.
4. All repeat testing must be accomplished by the stipulated date. Students must achieve a passing score
to clear the Incomplete and obtain a passing grade for the course.
57
SAN DIEGO CITY COLLEGE
NURSING EDUCATION COLLABORATIVE TESTING
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Beginning in NE 142 students will participate in collaborative testing following exams (at the
instructors’ discretion).
PROCEDURE:
1. Following the exam students will be placed in groups and given the opportunity to retake the exam
as a group, discussing the questions to reach a consensus on the appropriate answer. Extra credit
will be given for this process.
2. Extra credit points are awarded only at the end of the semester and only if the student achieves a
score of 75% or higher on each exam, as well as cumulatively.
3. Points Earned: Collaborative Test Score 91%-100% 2 Extra Credit Points Collaborative Test Score
83%-90% 1 Extra Credit Point Collaborative Test Score <82% 0 Extra Credit Points.
58
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
EVALUATION OF LEARNING AND EXPECTED PROFICIENCY
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
NURSING SKILLS VERIFICATION SIGN-OFF CHECKLIST AND PROCEDURES GUIDES
Foundations of Nursing and Medical Surgical Nursing I, II, III & IV include Nursing Skills that may be
demonstrated and evaluated in the nursing skills laboratory. Verification Sign-Off Checklists and
Procedure Guides are available for each of those skills. Students are encouraged to keep a copy of
each Skills Verification Sign-Off Checklist for a portfolio available to employers. The Procedure
Guides must be viewed as a basis for learning, students should follow hospital specific policies,
procedures and protocols.
METHODS OF EVALUATION
1. Written examinations and quizzes on theory and laboratory sessions
2. Written assignments on theory and laboratory sessions
3. Laboratory evaluation of nursing skills
4. Clinical performance evaluation
5. ATI Diagnostic Assessments/Examinations
EXPECTED DEGREE OF PROFICIENCY
1. Students will be responsible for the content in all previous courses and modules and the
application of this knowledge to the care of assigned patients.
2. Seventy-five percent (75%) average on written examinations.
3. Satisfactory laboratory and clinical performance as determined by specified guidelines
and criteria.
4. Satisfactory achievement on written assignments as determined by guidelines.
5. Appropriate participation in small group sessions and clinical conferences.
59
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
DOSAGE CALCULATION MATH PROFICIENCY
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Passing the Dosage Calculation Quiz is a pre-requisite for administering medications, a
course requirement. Students identified as having difficulty with mathematical computations will be
referred for remediation measures and will not be allowed to rotate off the unit in clinical. Dosage
calculation is an essential function of the Registered Nurse to be able to calculate medications in a timely
manner with 100% accuracy. Each student enrolled in the Nursing Program will be required to pass all
Dosage Calculation Quizzes with 100% accuracy.
PROCEDURE:
1. All students currently enrolled in the Nursing Program will be required to pass a dosage
calculation quiz in each clinical course, prior to administering medications.
2. Students will be allowed a maximum of 3 quizzes to achieve 100%. If a student does not
achieve 100% by the 3rd
quiz, the student will receive a failing grade in the course and may not
continue in the Nursing Program.
3. Students who do not pass the dosage calculation quiz on the first attempt must meet with the
course coordinator for a remediation plan, to include tutoring in the Math Center or additional
resources.
4. Students must remediate for one week prior to retaking the dosage calculation quiz (scheduled
with course coordinator).
5. The remediation content will be posted on blackboard and the student must bring the completed
remediation materials on the scheduled retake date.
6. Students who do not complete the remediation materials will not be allowed to retake the
dosage calculation quiz.
7. Students who do not achieve 100% on the dosage calculation quiz, and are therefore unable to
administer medications, by the 4th
week of the course, must withdraw and will receive a failing
grade in the course
60
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
DOSAGE CALCULATION QUIZ FORMAT
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
1. Each quiz will be 10 questions, fill in the blank, case scenario format and include rounding rule
directions.
2. Students are required to show their work.
3. Questions will reflect dosage calculations based on the student’s level in the nursing program.
4. Answers must include the correct unit of measure (example: mL/hr, mcg) or it will be incorrect.
5. Dosage Calculations quizzes will be timed. The student will have 30 minutes to complete quiz.
6. The student will be able to use a basic function calculator for the quiz. Cell phones, iPads,
advanced calculators, etc. may not be used.
61
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
Rounding Rules
Effective: 8/15/2017
Reviewed:
Revised:
Associate Dean, Nursing Faculty, and Tutors
San Diego City College, Nursing Education Program
General Rounding Rules For Exams/Dosage Calculation Quiz
Documenting with calculation:
All answers must be labeled correctly (This only applies to paper quizzes)
Converting Weight: Convert pounds to kilograms and round to the tenths prior to beginning the
calculation (refer to example 10 on page 2).
Basic rounding with decimals:
Must having leading zero and must not have trailing zero
Example of Leading Zero Example of Trailing Zero
Correct: 0.12 Correct: 4
Incorrect: .12 Incorrect: 4.0
Rounding Up: If the number to the right is equal to or greater than 5, round up by adding 1 to the number
on the left
Rounding Down: If the number to the right is less than 5, round down by dropping the number, leaving
the number to the left as is.
For dosages less than 1.0: Round to the nearest hundredth.
For example (rounding up): 0.746 mL. Look at the number in the thousandths place (6). Six is
greater than 5. To round to hundredths, add 1 to the 4 in the hundredths place and drop the 6.
The rounded dose is 0.75 mL.
Or (rounding down): 0.743 mL=0.74mL. The calculated dose is 0.743 mL. Look at the number
in the thousandths place (3). Three is less than 5. To round to the hundredth, drop the 3 and leave
the 4 as is. The rounded dose is 0.74 mL.
For dosages greater than 1.0: Round to the nearest tenth.
62
For example (rounding up): 1.38=1.4. The calculated dose is 1.38 mg. Look at the number in the
hundredths place (8). Eight is greater than 5. To round to the tenth, add 1 to the 3 in the tenth
place and drop the 8. The rounded dose is 1.4 mg.
Or (rounding down): 1.34 mL=1.3 mL. The calculated dose is 1.34 mL. Look at the number in
the hundredths place (4). Four is less than 5. To round to the tenth, drop the 4 and leave the 3 as
is. The rounded dose is 1.3 mL
Examples of Rounding Rules:
1. For all liquid (mLs) p.o, injectable questions, and IV medications round to the tenths (1 place). For example:
a. Amoxicillin PO 2.5 mL not 2.54 mL
b. Dilaudid IV 2.5 mg not 2.53 mg
c. Heparin IV infusion 14.5 mL/hr not 14.54 mL/hr
d. Dopamine 58.5 mL/hr not 58.54
2. For scored tablets you may give ½ or ¼ as indicated by the scoring. For example:
a. Warfarin 0.5 mg = ½ of 1 mg tablet scored in halves
b. Zanaflex 1 mg = 0.25 (¼) of 4 mg tablet scored in quarters
3. You cannot give less than the least scored tablet amount. For example:
a. Warfarin 0.25mg ≠ ¼ of a 1 mg tablet scored in halves.
4. For I.V. fluid (mL/hr) questions round to a whole number. For example:
a. Normal Saline 80 mL/hr not 80.33 mL/hr.
5. For all IV infusion dosage questions, round to the tenths (1 place).
a. Heparin IV 1400 units/hr
b. Amiodarone 16.6 mL/hr
6. You cannot give a portion of an IV drop. IV gtts must be in whole numbers. For example:
a. NS 12.33 gtt/min = NS 12 gtt/min
7. You cannot give a portion of a capsule, time release meds, and unscored tablets. You must use a whole
number. For example:
a. Colace 100 mg capsule
b. Procardia XL (nifedipine) 60mg
8. If the answer is < 1, round to the hundredths place. If the answer is > 1 round to the tenths. For example:
a. < 1 = 0.35 not 0.346 or 0.4
b. > 1 = 1.5 not 1.45
9. Round to the nearest tenth for high risk medications
*Refer to ATI for list of high risk medications
10. 76 lbs/2.2 = 34.54=34.5 kg
Remember, when your answer requires a whole number, basic rounding rules will apply. If 4 or less, round
down. If 5 or more, round up.
63
Sample Grades: Exam I: 80% X 0.25 = 20
Exam II: 72% X 0.30 = 21.6
Exam III: 83% X 0.35 = 29.05
Total: 70.65 / 0.9 divide by 90%
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
GRADING PRACICES
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Progression in the nursing program is contingent upon taking nursing courses in a
specifically designated sequence and achieving a grade of "C" or better in each course.
The letter grade earned by the student will be based on written examinations and assignments
covering both classroom and clinical content. Grades are computed using the weighted average of
examinations and assignments found in the syllabus (see example below). A "Satisfactory" clinical
evaluation for performance of clinical and laboratory experiences must be achieved in order to
successfully pass the course. No actual letter grade for the clinical component is factored into the
final course grade. An "Unsatisfactory/Unsafe" clinical evaluation will result in a course grade of
"F", which prevents the student from progressing in the Nursing Education Program.
The grading scale is as follows: Example of Weighted Average Computation
100% - 91% = A Sample Weights:
90% - 83% = B Exam I: 25%
82% - 75% = C Exam II: 30%
74.4% - 65% = D* Exam III: 35% = 90%
64.4% - 0% = F* Written Assignments: 10%
Total 100
Multiply each exam grade (in % form) by the % weight (in decimal form). Add products and divide by
the total percent weight.
Equals: 78.5% weighted average of all 3 exam grades
*Unacceptable grades for progression in the Nursing Education Program. The usual rules of mathematical
rounding will apply i.e., a score of 0.5 or above will be raised to the next higher grade level - (74.5 =
75%); a score of .4 or less will be recorded as the lesser grade level (74.4 = 74%).
64
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
EXAMINATION REVIEW
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: An exam review may be held following examinations, after all exams are completed.
Faculty will be available at the review session to discuss the rationale for selected answers. Exam
booklet must be returned to the proctor prior to leaving the review room. All written materials must be
returned to the proctor with your exam booklet.
AT NO TIME SHOULD AN EXAM BOOKLET OR ANY WRITTEN MATERIALS FROM THE
EXAM LEAVE THE NURSING DEPARTMENT. FAILURE TO COMPLY WITH THIS RULE
WILL RESULT IN A 10% PENALTY:
EXAMPLE:
Original Test Score: 80%
Penalty: - 10%
Revised Score: 70%
Individual or group time may be scheduled for students to review their examination booklets prior to
final exams. Any additional access to test booklets will be by appointment only with the theory
professor.
65
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
SURVEYS, PROGRAM REVIEW, AND STUDENT PARTICIPATION
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The San Diego City College Nursing Education Program utilizes evidence based practice
when creating/revising policies and procedures. Students are active participants in the Program Review
Process through attendance of Student Faculty Forums, Faculty Meetings, and completion of surveys.
Students are expected to complete the following Surveys upon request:
1. Course Evaluation
2. Clinical Site Evaluation
3. Instructor Evaluation
66
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
DISMISSAL FROM THE PROGRAM
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: A student who is dismissed from the Nursing Program for any reason must meet with the
Director (or Assistant Director) for an exit interview. During the exit interview, a remediation/re-entry
plan will be developed for the student if the student is eligible to return.
It is the responsibility of the student to officially withdraw from or drop all enrolled nursing courses.
The only exception is NE 141, Pharmacology for Nursing Practice. Students will be permitted to
complete this course, if enrolled.
The student is advised to review the Code of Student Conduct and Policy regarding reentry into Nursing
Program. Students, who remain enrolled in a class beyond the published withdrawal deadline, as stated
in the class schedule, will receive an evaluative letter grade in the class.
PROCEDURE: A student may be dismissed from the Nursing Program for the following reasons:
1. Achieving a course grade below "C" in any nursing course.
2. Achieving less than Level II on the retake of any ATI Diagnostic testing.
3. Receiving an "Unsatisfactory/Unsafe” clinical evaluation, which demonstrates unsafe practices in
providing patient care or the inability to meet specific clinical objectives and expectations.
4. Accumulation of unexcused absences.
5. Use of illicit drugs/substances in any District sponsored activity.
67
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
PROGRAM READMISSION
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: If a student is dropped from the nursing program due to academic failure, the student may
reenter the program only once. If a student exits the program due to personal reasons, and is in good
academic standing (>75% average, with satisfactory clinical evaluations), he/she can re-enter the
program at the beginning of the course not completed at the time of exit. This will be considered a first
admission for the purpose of this policy. A student who re-enters the program after a withdrawal for
personal reasons and withdraws a second time will not be eligible for re-entry after the second withdrawal.
LIMITATIONS ON READMISSION
1. Repetition of a course and reentry into the nursing program is dependent on space
availability.
2. Student must complete the Exit Interview process and any stipulations written on the Exit Interview
Form.
3. Application and requests for readmission must be made so that there is no less than a 6 month and
no more than a one (1) year absence from the nursing program.
4. After (1) year absence the student must reapply for admission to the program from the beginning.
5. A student dismissed as a result of unsafe/unacceptable clinical will not be eligible for
readmission.
6. Remediation requirements stipulated upon the Exit Interview will need to be completed by the
student prior to being readmitted to the program. Remediation requirements may include but are
not limited to: dosage calculation proficiency, ATI assignments, quiz and skills demonstration.
7. Students will not be eligible for readmission under the following circumstances:
• Unsatisfactory/Unsafe Behaviors
• Violation of Integrity
• Violation of Code of Conduct
• Unprofessional Behavior/ Uncivil Behavior, Unethical Behavior in clinical or classroom
• Falsification of records
• Academic records
• Background checks
• Patient records in the clinical setting
PROCEDURES FOR READMISSION:
1. An Exit Interview will be scheduled (5-7 days) post program dismissal with the Associate Dean
of Nursing or the designee. The (5-7 days) time frame is a ‘cool-off’ time frame. Appointments
68
are made through emailing: [email protected]
2. A Readmission Application form must be submitted by the student requesting re-entry.
Additionally, the student will be required to submit a typed essay addressing the following
points:
Reason for exit
Changes made to ensure success
Continued experience in health care field (volunteer or paid) if any
Enrollment in or completion of any college courses
Any other interventions the student has implemented to enhance success
The application form and the essay must be submitted together. The application and essay must be
submitted by the middle of the semester prior to requesting program reentry. For example, if a student
exits the program in the Fall semester, application for re-entry must be submitted by the middle of the
summer semester.
According to college policy, students earning a course grade of "I" (Incomplete) must complete the
work stipulated or the grade will revert to an "F." An Incomplete must be cleared prior to reentry
consideration.
Students who are dropped from the first year of the nursing program and then complete a Vocational
Nursing Program at another accredited institution may be considered for admission to the LVN-RN
Step-Up Program if evidence of VN licensure has been documented and other entrance requirements
have been met.
69
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
ATI LEVELS OF PROFICIENCY
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: All students must achieve a LEVEL II Proficiency on the Proctored Exams in order to
progress in the program.
LEVEL 1
A student meeting the criterion for Proficiency Level 1:
Is expected to just meet NCLEX-RN® standards in this content area.
Should demonstrate the minimum level of knowledge in this content area required to support academic
readiness for subsequent curricular content.
Should meet the absolute minimum expectations for performance in this content area.
LEVEL 2
A student meeting the criterion for Proficiency Level 2:
Is expected to readily meet NCLEX-RN standards in this content area.
Should demonstrate a level of knowledge in this content area that more than adequately supports
academic readiness for subsequent curricular content.
Should exceed minimum expectations for performance in this content area.
LEVEL 3
A student meeting the criterion for Proficiency Level 3:
Is expected to exceed NCLEX-RN standards in this content area.
Should demonstrate a high level of knowledge in this content area that confidently supports academic
readiness for subsequent curricular content.
Should exceed most expectations for performance in this content area.
*Note that these definitions were based on expertise of the nurse educators who participated in the cut
score study. No empirical study was conducted relating NCLEX-RN performance to performance on the
Content Mastery Series, nor was any study conducted demonstrating a statistical relationship between
Content Mastery Series performance and actual job performance. These Proficiency Level definitions
were used by cut score study participants for the purpose of making their empirical ratings of item
difficulty.
70
SAN DIEGO CITY COLLEGE
ALGORITHM FOR CONTENT MASTERY SERIES
ATI Comprehensive Assessment and Review Program Policy
Week 2 Week 4
Student completes Practice Assessment Form A Student completes Practice Assessment Form B
Week 3 Remediation Week 5 Remediation
Minimum ONE HOUR Focused Review Minimum ONE HOUR Focused Review
For each topic missed, complete an active learning template and / or identify 3 critical points to remember
Completion of all four weeks earns student 4 points
Week 6
Student takes Proctored Assessment (First Attempt)
Student achieves a
score greater than or
equal to proficiency
level 3 on first attempt
(4 points).
Week 7 Remediation
Minimum ONE
HOUR Focused
Review:
For each topic missed,
complete an active
learning template and /
or identify 3 critical
points to remember
(2 points)
Student achieves a
score greater than or
equal to proficiency
level 2 on first attempt
(3 points).
Week 7 Remediation
Minimum TWO
HOURS Focused
Review:
For each topic missed,
complete an active
learning template and /
or identify 3 critical
points to remember
(2 points)
Student achieves a
score greater than or
equal to proficiency
level 1 on first attempt
(1 point).
Week 7 Remediation
Minimum THREE
HOURS Focused
Review:
For each topic missed,
complete an active
learning template and /
or identify 3 critical
points to remember
(2 points)
Student achieves a
score less than
proficiency level 1 on
first attempt
(0 points).
Week 7 Remediation
Minimum FOUR
HOURS Focused
Review:
For each topic missed,
complete an active
learning template and
/ or identify 3 critical
points to remember
(2 points)
Week 8
Student retakes Proctored Assessment
Student achieves a
score greater than or
equal to proficiency
level 2. Less than
Level 2 results in
course failure.
71
SAN DIEGO CITY COLLEGE
ALGORITHM FOR CONTENT MASTERY SERIES
Nursing Education 146
Week 1 (OB) Week 2 (PEDS) Week 3 (OB) Week 4 (PEDS) Student completes Practice Assessment Form A Student completes Practice Assessment Form B
Week 2 (OB) Week 3 (PEDS) Remediation Week 4 (OB) Week 5 (PEDS) Remediation
Minimum ONE HOUR Focused Review Minimum ONE HOUR Focused Review
For each topic missed, complete an active learning template and / or identify 3 critical points to remember
Completion of all four weeks earns student 4 points
Week 6 (OB) Week 7 (PEDS)
Student takes Proctored Assessment (First Attempt)
Student achieves a Student achieves a Student achieves a Student achieves a
score greater than or score greater than or score greater than or score less than
equal to proficiency equal to proficiency equal to proficiency proficiency level 1 on
level 3 on first attempt level 2 on first attempt level 1 on first attempt first attempt
(4 points). (3 points). (1 point). (0 points).
Week 7 (OB) Week 8 Week 7 (OB) Week 8 Week 7 (OB) Week 8 Week 7 (OB) Week 8
(PEDS) Remediation (PEDS) Remediation (PEDS) Remediation (PEDS) Remediation
Minimum ONE Minimum TWO Minimum THREE Minimum FOUR
HOUR Focused HOURS Focused HOURS Focused HOURS Focused
Review: Review: Review: Review:
For each topic missed, For each topic missed, For each topic missed, For each topic missed,
complete an active complete an active complete an active complete an active
learning template and / learning template and / learning template and / learning template and
or identify 3 critical or identify 3 critical or identify 3 critical / or identify 3 critical
points to remember points to remember points to remember points to remember
(2 points) (2 points) (2 points) (2 points)
Week 8 (OB) The Next Week (PEDS)
Student retakes Proctored Assessment
Student achieves a
score greater than
or equal to
proficiency level 2.
Less than Level 2
results in course
failure
72
ALGORITHM FOR CONTENT MASTERY SERIES Nursing Education 244B
Week 1 (Med/Surg) Week 2 (Comprehensive) Week 3 (Med/Surg) Week 4 (Comprehensive)
Student completes Practice Assessment Form A Student completes Practice Assessment Form B
Week 2 (Med/Surg) Week 3 (Comprehensive) Week 4 (Med/Surg) Week 5 (Comprehensive)
Remediation - Minimum ONE HOUR Focused Review
For each topic missed, complete an active learning template and / or identify 3 critical points to remember
Completion of all four weeks earns student 4 points
Week 6 (Med/Surg) Week 7 (Comprehensive)
Student takes Proctored Assessment (First Attempt)
Student achieves a
score greater than or
equal to proficiency
level 3 on first attempt
(4 points).
Week 7 (Med/Surg)
Week 8
(Comprehensive)
Student achieves a
score greater than or
equal to proficiency
level 2 on first attempt
(3 points).
Week 7 (Med/Surg)
Week 8
(Comprehensive)
Student achieves a
score greater than or
equal to proficiency
level 1 on first attempt
(1 point).
Week 7 (Med/Surg)
Week 8
(Comprehensive)
Student achieves a
score less than
proficiency level 1 on
first attempt
(0 points).
Week 7 (Med/Surg)
Week 8
(Comprehensive) Remediation Remediation Remediation Remediation
Minimum ONE Minimum TWO Minimum THREE Minimum FOUR
HOUR Focused HOURS Focused HOURS Focused HOURS Focused
Review: Review: Review: Review:
For each topic missed, For each topic missed, For each topic missed, For each topic missed,
complete an active complete an active complete an active complete an active
learning template and / learning template and / learning template and / learning template and
or identify 3 critical or identify 3 critical or identify 3 critical / or identify 3 critical
points to remember points to remember points to remember points to remember
(2 points) (2 points) (2 points) (2 points)
Week 8 (Med/Surg) The Next Week (Comprehensive)
Student retakes Proctored Assessment
Student achieves a
score greater than
or equal to
proficiency level 1.
Less than Level 2
results in course
failure
73
ALGORITHM FOR CONTENT MASTERY SERIES Nursing Education 246B
Week 1 (Leadership) Week 2 (Comprehensive) Week 3 (Leadership) Week 4 (Comprehensive)
Student completes Practice Assessment Form A Student completes Practice Assessment Form
Week 2 (Leadership) Week 3 (Comprehensive) Week 4 (Leadership) Week 5 (Comprehensive)
Remediation - Minimum ONE HOUR Focused Review
For each topic missed, complete an active learning template and / or identify 3 critical points to remember
Completion of all four weeks earns student 4 points
Week 6 (Leadership) Week 7 (Comprehensive)
Student takes Proctored Assessment (First Attempt)
Student achieves a
score greater than or
equal to proficiency
level 3 on first attempt
(4 points).
Week 7 (Leadership)
Week 8
(Comprehensive)
Student achieves a
score greater than or
equal to proficiency
level 2 on first attempt
(3 points).
Week 7 (Leadership)
Week 8
(Comprehensive)
Student achieves a
score greater than or
equal to proficiency
level 1 on first attempt
(1 point).
Week 7 (Leadership)
Week 8
(Comprehensive)
Student achieves a
score less than
proficiency level 1 on
first attempt
(0 points).
Week 7 (Leadership)
Week 8
(Comprehensive) Remediation Remediation Remediation Remediation
Minimum ONE Minimum TWO Minimum THREE Minimum FOUR
HOUR Focused HOURS Focused HOURS Focused HOURS Focused
Review: Review: Review: Review:
For each topic missed, For each topic missed, For each topic missed, For each topic missed,
complete an active complete an active complete an active complete an active
learning template and / learning template and / learning template and / learning template and
or identify 3 critical or identify 3 critical or identify 3 critical / or identify 3 critical
points to remember points to remember points to remember points to remember
(2 points) (2 points) (2 points) (2 points)
Week 8 (Leadership) The Next Week (Comprehensive)
Student retakes Proctored Assessment
Student achieves a
score greater than
or equal to
proficiency level 1.
Less than Level 2
results in course
failure
.
74
ALGORITHM FOR CONTENT MASTERY SERIES Nursing Education 246B
Week 1 (Leadership) Week 2 (Comprehensive) Week 3 (Leadership) Week 4 (Comprehensive)
Student completes Practice Assessment Form A Student completes Practice Assessment Form
Week 2 (Leadership) Week 3 (Comprehensive) Week 4 (Leadership) Week 5 (Comprehensive)
Remediation - Minimum ONE HOUR Focused Review
For each topic missed, complete an active learning template and / or identify 3 critical points to remember
Completion of all four weeks earns student 4 points
Week 6 (Leadership) Week 7 (Comprehensive)
Student takes Proctored Assessment (First Attempt)
Student achieves a
score greater than or
equal to proficiency
level 3 on first attempt
(4 points).
Week 7 (Leadership)
Week 8
(Comprehensive)
Student achieves a
score greater than or
equal to proficiency
level 2 on first attempt
(3 points).
Week 7 (Leadership)
Week 8
(Comprehensive)
Student achieves a
score greater than or
equal to proficiency
level 1 on first attempt
(1 point).
Week 7 (Leadership)
Week 8
(Comprehensive)
Student achieves a
score less than
proficiency level 1 on
first attempt
(0 points).
Week 7 (Leadership)
Week 8
(Comprehensive) Remediation Remediation Remediation Remediation
Minimum ONE Minimum TWO Minimum THREE Minimum FOUR
HOUR Focused HOURS Focused HOURS Focused HOURS Focused
Review: Review: Review: Review:
For each topic missed, For each topic missed, For each topic missed, For each topic missed,
complete an active complete an active complete an active complete an active
learning template and / learning template and / learning template and / learning template and
or identify 3 critical or identify 3 critical or identify 3 critical / or identify 3 critical
points to remember points to remember points to remember points to remember
(2 points) (2 points) (2 points) (2 points)
Week 8 (Leadership) The Next Week (Comprehensive)
Student retakes Proctored Assessment
Student achieves a
score greater than
or equal to
proficiency level 2.
Less than Level 2
results in course
failure
75
SAN DIEGO CITY COLLEGE
ALGORITHM FOR ATI COMPREHENSIVE PREDICTOR
Week 2 Week 4
Student completes Practice Assessment Form A Student completes Practice Assessment Form B
Week 3 Remediation Week 5 Remediation
Minimum ONE HOUR Focused Review Minimum ONE HOUR Focused Review
For each topic missed, complete an active learning template and / or identify 3 critical points to remember
Completion of all four weeks earns student 4 points
Week 6
Student takes Proctored Assessment (First Attempt)
Student achieves a
score greater than or
equal to 72.7% on
first attempt (4 points).
Week 7 Remediation
Minimum ONE
HOUR Focused
Review:
For each topic missed,
complete an active
learning template and /
or identify 3 critical
points to remember
(2 points)
Student achieves a
score greater than or
equal to 70.7% on
first attempt (3 points).
Week 7 Remediation
Minimum TWO
HOURS Focused
Review:
For each topic missed,
complete an active
learning template and /
or identify 3 critical
points to remember
(2 points)
Student achieves a
score greater than or
equal 69.3% on first
attempt (1 point).
Week 7 Remediation
Minimum THREE
HOURS Focused
Review:
For each topic missed,
complete an active
learning template and /
or identify 3 critical
points to remember
(2 points)
Student achieves a
score less than
69.3% on first
attempt (0 points).
Week 7 Remediation
Minimum FOUR
HOURS Focused
Review:
For each topic missed,
complete an active
learning template and
/ or identify 3 critical
points to remember
(2 points)
Week 8
Student retakes Proctored Assessment
Student achieves
a score greater
than or equal to
70%
Student receives
earned course
grade.
Student achieves a score
below 70%
Student will be given an
incomplete in the course and
must complete Virtual ATI.
Upon completion of Virtual
ATI, student will be given
earned course grade and
transcripts will be released to
BRN
76
Clinical Information
Clinical Policies
Clinical Procedures
77
SAN DIEGO CITY COLLEGE
NURSING EDUCATION SAN DIEGO NURSING SERVICE-EDUCATION CONSORTIUM
BACKGROUND CHECK BACKGROUND SCREENING
URINE DRUG SCREENING
Effective:
Reviewed: 06/01/2017
Revised:
SDNSEC San Diego Nursing Service-Education Consortium
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The curriculum or program of study is approved by the California Board of Registered
Nursing (BRN), which is under the jurisdiction of the Department of Consumer Affairs. The BRN
is responsible for the control of Nursing Education Programs and nursing practice within the state.
The prior conviction of a misdemeanor or felony crime, or disciplinary action against an LVN/LPN
license, may influence eligibility for licensure as a Registered Nurse. Applicants with such prior
convictions are urged to meet with the Director of Nursing Education for confidential advisement
or to contact the Board or Registered Nursing for more specific information (http://www.rn.ca.gov)
Students must have clear criminal background checks and drug screens to participate in placement
in clinical facilities. Students under 18 years of age are exempt from this requirement.
1. All participating schools and agencies agree to adhere to a standardized process
for clinical instructor/student screening.
2. The background check is not a requirement for admission to a nursing program;
however, the process will be completed after an invitation for admission is received.
3. Nursing clinical instructors/students must have clear criminal background
checks to participate in placement(s) in clinical facilities.
4. Prior to clinical experience the school will verify that the following information is on
file for the assigned clinical instructor/students. (see#5)
5. Background checks will minimally include the
following:
Seven years residence/background history
Address verification
Sex offender database search
Two names (current legal and one other
name)
Three counties
OIG search
Social Security Number verification
Search through applicable professional certification or licensing
agency infractions if student currently holds a professional license
or certification (e.g., respiratory therapist, C.N.A.)
Drug screen with urine sample
6. Clinical instructor/students will be unable to attend clinical facilities for appropriate
reasons, including the following convictions:
Murder
Felony
78
Assault
Sexual offenses/sexual assault
Abuse
Felony possession and furnishing (without certificate of rehabilitation)
Other felonies involving weapons and/or violent crimes
Class B and Class A misdemeanor theft
Felony theft
Fraud
7. The initial background check satisfies this requirement during continuous matriculation
thru the program; should the educational process be interrupted, a new background
check will be required.
8. Upon receipt of a “positive” background check, the clinical site will make a final
determination whether the student will be accepted into the facility.
9. If the clinical student’s record is not clear, the individual may be unable to attend the
clinical rotation. The clinical site will notify the campus of their denial of any
students. (Applicable BRN guidelines will be incorporated into these guidelines as
they become available).
10. Students may be denied access to clinical facilities based on offenses appearing on the
criminal record which may have occurred more than seven years ago.
11. Final placement status based on background check information is the clinical site’s
determination.
12. American DataBank shall include in any document used to obtain information from
clinical instructor/students for the purpose of conducting a background check, a
waiver and release of liability wherein the student specifically agrees to allow
school/American DataBank to share the results of the background check with the
clinical sites to which student may apply or be assigned. The student shall further
agree that such information may be used to deny the student from participating in
clinical rotation.
13. Schools shall indemnify and hold healthcare facilities harmless from any and all actions
or claims that may be asserted by clinical instructor/students arising out of healthcare
facilities’ rejection of any clinical instructor/student from clinical rotation based on the
results of a criminal background check or any claim that such a background check was
conducted improperly. American DataBank shall be solely responsible for conducting
background checks in accordance with applicable laws and regulations, including but
not limited to California Civil Code Section 1786, et seq.
14. Students must meet all requirements established by each of the clinical agencies. These
requirements are subject to change and may be revised while the student is enrolled in
the nursing program. Clinical agencies currently mandate that students meet all health
screening requirements and have no previous conviction of a felony or fraud to a
government agency, patient abuse, felony of controlled substances, etc.
15. If a San Diego City College Nursing Student is denied access to a clinical site by the
clinical agency, that student will be unable to continue in the program.
79
16. Upon completion the results will be delivered to the applicant by American
DataBank.
17. Clinical instructor/students must provide information allowing American DataBank to
conduct a background check and with authorization to share any positive or flag
results on the background check with healthcare facilities to which students may
apply or to which students may be assigned for clinical nursing courses or clinical
rotation (the school’s clinical affiliates). American DataBank will conduct an
internal review, verify clinical instructor/student information, and send any flagged or
positive results to the clinical sites for review.
18. Upon receipt of a “positive” background check, the clinical site will make a final
determination whether the clinical instructor/student will be accepted into the facility.
The site will use the same guidelines used for the acceptance/rejection of an
employment application in approving clinical instructor and student placement at their
site.
19. If the clinical instructor/student’s record is not clear, the individual may be unable to
attend the clinical rotation. The clinical site will notify the campus of their denial of
any clinical instructor/students. (Applicable BRN and/or BVN/PT guidelines will be
incorporated into these guidelines as they become available).
20. If the clinical instructor/students record is not clear they will be responsible for
obtaining documents and having the record corrected to clear it.
21. Clinical instructor/students may be denied access to clinical facilities based on
offenses appearing on the criminal record which may have occurred more than seven
years ago. Final placement status based on background check information is the
clinical site’s determination.
22. American DataBank shall include in any document used to obtain information from
clinical instructor/students for the purpose of conducting a background check, a
waiver and release of liability wherein the student specifically agrees to allow
school/American DataBank to share the results of the background check with the
clinical sites to which student may apply or be assigned. The student shall further
agree that such information may be used to deny the student from participating in
clinical rotation.
Students accepted into the San Diego City College Nursing Education Program will be
required to successfully complete the clinical objectives of the courses held in clinical health
care facilities. The clinical health care facilities require criminal background checks and urine
drug screening, as a condition of placement.
Refusal to submit to a background check, urine drug screen at any time, or failure to meet
clearance criteria established by the health care facility, may prevent placement in the Directed
Clinical Practice/clinically-based course and thus, it may not be possible to remain in the
program or successfully complete the program.
Health care facilities require adherence to strict standards of conduct. Facilities may refuse
educational access to any person who does not adhere to the facility's standards of safety,
health and ethical behavior. Violation of program policies regarding clinical or policies
established by the SDNSEC will result in immediate dismissal from the program.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION ACCOMODATIONS IN THE CLINICAL ENVIRONMENT
Effective:
Reviewed: 8/4/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students must discuss the accommodations they are requesting for their clinical
placements with a DSPS counselor. DSPS will engage in the interactive process with the student to
decide whether the student needs accommodations in the clinical placement. DSPS will communicate
with the student and the clinical instructor to assist with implementation of the accommodations if
needed.
PROCEDURE:
If DSPS has approved a proposed accommodation and the clinical placement cannot implement it,
the Nursing Department shall do one or more of the following:
1. Work with the placement to implement the accommodation or negotiate implementation of an
equally effective alternative.
2. Place the student in another placement that is equally effective for the student.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION RELEASE OF INFORMATION TO CLINICAL AGENCIES
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Students must meet all requirements established by each of the clinical agencies. These
requirements are subject to change and may be revised while the student is enrolled in the nursing
program. Clinical agencies currently mandate that students meet all health screening requirements
and have no previous conviction of a felony or fraud to a government agency, patient abuse, felony
of controlled substances, etc.
Clinical agencies conduct a variety of background checks on students including obtaining
clearance from the Office of the Inspector General (dealing with Medicare/MediCal fraud and
other aspects of the Department of Health and Human Services) and criminal background checks.
If a San Diego City College Nursing Student is denied access to a clinical site by the clinical agency,
that student will be unable to continue in the program.
Clinical rotations are mandatory and student information is released to the clinical agency for
background screening purposes.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
STUDENT RESPONSIBILITIES RELATED TO CLINICAL
EXPERIENCES
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Each student will be responsible for reviewing all clinical objectives as presented in the
course syllabus and the weekly learning modules. Each student is accountable for all previously
introduced concepts and skills. The clinical evaluation is based on the continued application and
integration of previously learned material within the current clinical learning experience.
The Nursing Program is a demanding commitment of time and energy. If it is absolutely necessary
for the student to work during the program, the student is expected to arrange his/her working
schedule so that no interference will occur with meeting his/her responsibilities with any facet of the
nursing program. Work hours MUST NOT be scheduled immediately prior to attendance in the
clinical area.
The clinical experience will begin and end at times specified in the class syllabus or clinical
expectations handed out by each clinical faculty. Students must be on time for all clinical
experiences and are expected to arrive at the assigned clinical unit at least 10 minutes before the
clinical begins (i.e., at 6:20 a.m. for the 6:30 a.m. clinical).
Students are required to give the hospital and/or clinical faculty advance notice when they are
going to be late or are unable to attend clinical for any reason. This should be done as soon as
possible. In addition to leaving a message with the clinical faculty, the student is to notify the
nursing education office on campus (388-3441).
Lunch and break times will be based on the following criteria: hospital policy, level of student and
nature of the assignment. Break times will not be cumulative; students will not be permitted to
leave the clinical site earlier than the stipulated schedule in lieu of taking a lunch break.
Pre-clinical preparation is expected. Students will be required to do pre-clinical research in the
clinical area on their own time. Specific expectations for pre-clinical research and site specific
time frames for pre-clinical research will be given to the student, by the clinical instructor, during
each clinical orientation. Students must wear school uniform for pre-clinical research. Prior to
performing pre-clinical research, students must make contact with the person in charge and
identify themselves and their purpose for being on the unit. Students are not permitted to have any patient contact when performing pre-clinical research.
Students may not be accompanied by anyone to the clinical unit.
A patient’s condition is not to be discussed with anyone not directly involved with their care. All
hospital information is confidential and students may access information only for educational
purposes. Removing patient care plans or medication sheets, printing/photocopying documents from
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the patient’s chart, and/or care plan, or accessing non-assigned patients’ documents is not permitted.
A hospital is legally responsible for patient information and this privacy must be protected. One
should never make any statements or comments to a patient’s family, a police officer or the press.
Review consequences of HIPAA violations in your online program. http://healthsciences.ucsd.edu/compliance/privacy/hipaa-training/Documents/4-
HIPAA%20Privacy%20101%20Plus%20Intermediate%20Registry-Updated-11-14-2012.pdf
Students are expected to act as professionals with the utmost respect for patient
confidentiality. This means that any discussion of patients in public places such as cafeterias
and elevators is inappropriate. Discussion of patients with the student's family members
must not occur.
Students will only be expected to perform care and skills for which they have been
educationally prepared. It is the responsibility of the student to bring to the attention of the
faculty and/or agency staff areas of care and skills for which they have not been formally prepared
or previously supervised. Direct patient care may only be provided when clinical faculty or
designated preceptor is present in the clinical facility.
Students may be assigned to care for patients with communicable diseases such as MRSA, AIDS,
and Hepatitis. When immunization is possible, it may afford extra protection. Standard
precautions will be taught and practiced.
Students who are judged by the clinical faculty as unable to provide safe patient care because of
illness or lack of clinical preparation will not be permitted to give care and may be asked to leave
the clinical setting. Such action will constitute a clinical absence and must be made up.
If, at any time, in the judgment of the clinical faculty, a student's conduct displays a potential harm
to the well-being of patients, the student will be directed to leave the clinical area.
A student must inform the clinical faculty if he/she must leave the clinical agency prior to the
scheduled time. Reporting off duty to both the faculty and primary nurse ensures continuity of
care and is required any time a student leaves the unit. At no time may a student leave the facility
during assigned clinical hours for personal errands.
No personal messages or phone calls are to be received by students while in the clinical area.
Students may not carry cell phones onto any clinical unit. If an emergency arises, messages
should be left with the nursing education office and an attempt will be made to contact the student.
WHEN TO CALL YOUR INSTRUCTOR:
Whenever there is a change in your patient’s condition.
Whenever you do a procedure for the first time in the hospital--whether or not you were
observed in the skills lab.
Whenever you need to perform a procedure at a new clinical site or with a different instructor.
When you are not perfectly clear on what to do or how to do it
When you are getting behind in your assignment and feel you will not finish on time.
When you finish everything and have "nothing to do."
If anything unsafe happens to your patient (i.e., a fall).
If you are having difficulty with the nursing staff.
If you injure yourself in any way (i.e., needle puncture, back strain).
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
INFECTION CONTROL POLICY
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Medical history and examination cannot reliably identify all patients infected with viral or
other blood-borne pathogens. Therefore, blood and body-fluid precautions should be consistently used for
all patients. This approach is referred to as "universal blood and body-fluid precautions" or "standard
precautions," and is recommended by the SDCC faculty in conjunction with the Centers for Disease
Control (CDC).
PROCEDURE:
1. All health care students and faculty should routinely use appropriate barrier precautions to
prevent skin and mucous-membrane exposure when contact with blood or other body fluids of
any patient is anticipated.
2. Gloves should be worn when touching blood, blood products, mucous membranes and body
fluids (urine, feces, saliva, wound drainage). For your convenience, it is recommended that
you carry a pair of gloves in your uniform pocket at all times.
3. Gloves should be changed after contact with each patient. Gloves must be removed prior to
exiting the room.
4. Hands should be washed prior to and immediately after every patient contact, even when
gloves are worn. Hands or other skin surfaces should be washed immediately and thoroughly
if contaminated with blood or other body fluids. Hands must also be washed before and after
practicing each procedure involving another person as a patient.
5. As there is increasing evidence from the CDC that artificial nails are more likely than
natural nails to harbor pathogens that can lead to nosocomial infections, artificial nails and
nail extenders may not be worn in the clinical area.
6. Masks and protective eyewear or face-shields must be worn during procedures that are
likely to generate droplets of blood or other body fluids to protect exposure of mucous
membranes of the mouth, nose and eyes. Students must carry goggles with them whenever in
the clinical area.
7. Gowns or aprons should be worn during procedures that are likely to generate splashes of
blood or other body fluids. Contaminated gowns are to be discarded per hospital policy.
8. Disposable articles contaminated with blood, blood products, wound drainage or body
secretions/excretions should be disposed of per hospital policy.
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9. All health care students and faculty should take precautions to prevent injuries caused by
needles, scalpels and other sharp instruments or devices during procedures; when cleansing
used instruments; during disposal of used needles; when handling sharp instruments after
procedures.
10. To prevent needle-stick injuries, needles should not be recapped, purposely bent or broken
by hand, removed from disposable syringes or otherwise manipulated by hand.
11. After they are used, disposable syringes and needles, scalpel blades and other sharp items
should be placed in puncture-resistant containers for disposal. Large-bore reusable needles
should be placed in a puncture-resistant container for transport to the reprocessing area.
12. Health-care students or faculty who have open lesions or weeping dermatitis may be
required to utilize appropriate protective measures (such as double gloving) or, depending on
the extent and location of lesions, refrain from all direct patient care and from handling
equipment until the condition resolves.
13. Although saliva has not been implicated in HIV transmission, minimize the need for
emergency mouth-to-mouth resuscitation by making resuscitation bags, mouthpieces and
ventilation devices available in patient care areas where the need for resuscitation is
predictable.
14. Although pregnancy is not known to create a greater risk of contracting HIV infection,
health- care providers who develop HIV infection during pregnancy may place the infant at
risk of infection resulting from perinatal transmission. Additionally, several of the
opportunistic diseases associated with HIV infection may be hazardous to the unborn fetus.
For these reasons students and faculty who are pregnant should refrain from direct care of
patients with known HIV infection.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION LATEX SENSITIVITY
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Latex-sensitive students must have a letter from a physician documenting the latex
sensitivity and the treatment that will be required in the event of an adverse reaction prior to engaging
in any clinical or laboratory practicum in the first semester of the Nursing Program. The student
must keep the emergency medications with them at all times when involved with school related
functions or school related activities throughout the entire nursing program.
Latex-sensitive students will use only non-latex supplies. Latex free gloves must be provided by the
student during the on-campus laboratory practicum. During clinical, students may use hospital latex-
free gloves supplied by the hospital.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION CLINICAL EVALUATION CLINICAL GRADING
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: Each student is responsible for reviewing all clinical objectives as presented in the course
syllabus and the weekly learning modules. Each student is accountable for all previously introduced
concepts and skills. The clinical evaluation is based on the continued application and integration of
previously learned material within the current clinical learning experience.
Students are responsible for reviewing the criteria for determining the grades of Satisfactory, Needs
Improvement and Unsatisfactory/Unsafe.
Clinical instructors will evaluate student progress in a variety of ways, such as: planned and incidental
observation of patient assessment, problem identification, care plan development and implementation and
evaluation of patient care, as outlined in the course clinical objectives and the weekly learning modules.
Each student will be responsible for submitting, to the clinical instructor, a weekly online anecdotal entry.
This will be used by the student and faculty as a communication tool to state objectives that have been met
successfully, to explore feelings elicited from clinical assignments, and to seek assistance from the faculty
when clinical objectives have not been met.
The faculty may initiate a Clinical Counseling Record at any time when an incident occurs in the clinical
area, which demonstrates a potential safety hazard to the patient, a lack of preparedness on the part of the
student or a specific learning difficulty/area of concern.
To achieve a grade of "Satisfactory" in the clinical component of the nursing course, the student
must:
1. Achieve a passing grade or a satisfactory evaluation on all required written clinical assignments.
2. Satisfactorily meet designated clinical objectives and clinical expectations consistently
throughout the course.
3. Regularly attend scheduled meetings of clinical rotations and on-campus laboratory sessions.
4. Satisfactorily complete and submit the weekly online anecdotal entry.
5. Successfully pass a written dosage calculations proficiency quiz.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION CLINICAL PERFORMANCE SCALE
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
SATISFACTORY
A. Definition:
Performs at expected level, or above, independently or with minimal faculty guidance and
demonstrates consistent behaviors in meeting specified clinical objectives & clinical
expectations.
B. Expected Outcomes:
Student progresses to the next level.
NEEDS IMPROVEMENT
A. Definition:
Performs at expected level with faculty guidance only. Student performance in the clinical
area demonstrates weaknesses that have the potential for violations of safety, and/or inability
to consistently meet specified clinical objectives and clinical expectations.
B. Expected Outcomes:
1. Student may receive a "Needs Improvement" evaluation at mid-rotation or end-
rotation in any assigned clinical area (except NE 246).
a. The student is notified in writing that performance is substandard as
evidenced by the Clinical Counseling Record.
b. Specific deficiencies are noted.
c. A joint remediation plan is developed by the student and instructor.
d. The contract is signed, which defines:
(1) Behavioral indicators for change.
(2) Target or due dates for reassessment.
e. The Director of the Nursing Program shall be notified of the student's
behaviors and shall receive copies of Clinical Counseling Record.
2. If the "Needs Improvement" rating is received at mid-rotation, the student
must meet the requirements for minimum satisfactory performance by the end
of the rotation. If the minimum standards are not met, a 3-way conference
may be scheduled with the student, the instructor and the Director of Nursing
Education. The student will receive an "Unsatisfactory/Unsafe" clinical
evaluation and will not be allowed to progress in the nursing program.
3. If the "Needs Improvement" is received at the end of the rotation in any
clinical course (except NE 246), the student will receive an Incomplete (I) in
the course and a Learning Contract for remediation is developed by the
student, current instructor and next clinical instructor. The specific "target" or
due date will be determined by the group developing the contract (mid
rotation). If the "Needs Improvement" is not corrected by the target date, the
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student will receive an "Unsatisfactory/Unsafe" clinical evaluation in the
previous course and will not be allowed to progress in the nursing program.
The Incomplete will be changed to a grade of “D”.
4. A student earning a "Needs Improvement" in the same behavioral area(s) for
two consecutive clinical rotations will receive an "Unsatisfactory/Unsafe"
clinical evaluation and will not be allowed to progress in the nursing program.
5. A student earning a "Needs Improvement" will not be assigned to alternate
learning activities, such as observational experiences, career/health fairs or
nursing student association functions.
UNSATISFACTORY/UNSAFE
A. Definition:
Unable to perform at expected level even with faculty guidance. Student performance
in the clinical area which demonstrates consistent patterns of behavior that are
indicators of safety violations, either actual or potential, that do not improve with
remediation, or behavior which reflects the student’s inability to meet the specified
course objectives and clinical expectations.
B. A student may receive an "Unsatisfactory/Unsafe" evaluation at any time during the
course of the clinical rotation.
C. A student receiving an "Unsatisfactory/Unsafe" clinical evaluation will not be allowed
to progress in the Nursing Program.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
CRITERIA FOR UNSAFE CLINICAL PERFORMANCE
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
Unsafe clinical behavior may include, but is not limited to, the following.
Safety (S) Examples
A. Violates or threatens the physical safety of
the patient.
Comes unprepared to clinical; injures a patient; fails
to properly position patient; does not appropriately
utilize side rails/restraints; functions under the
influence of substances affecting performance.
B. Violates or threatens the psychosocial
safety of the patient.
Repeatedly uses non-therapeutic techniques;
attacks/degrades the individual's beliefs or values.
C. Violates or threatens the microbiological
safety of the patient.
Fails to recognize and correct violations of medical
asepsis/sterile technique; does not wash hands
appropriately when caring for patients; does not
maintain standard precautions.
D. Violates or threatens the chemical safety of
the patient.
Violates any of the 5 rights of medication
administration; fails to accurately prepare, calculate,
and monitor IV infusions.
E. Violates or threatens the thermal safety of
the patient. Fails to observe safety precautions during 02
therapy; injures patient with hot or cold applications.
Nursing Process (NP) Examples
Inadequately and/or inaccurately:
A. assesses the patient.
B. plans the care for the patient.
C. implements therapeutic interventions.
D. evaluates patient care.
E.
Unable to identify basic human needs; fails to
observe/report/chart critical patient data; uses poor
judgment and/or makes decisions resulting in
ineffective nursing care.
Skills (SK) Examples
A. Unable to perform expected clinical
performance objectives and/or skills.
First semester student fails to obtain accurate vital
signs; second semester student fails to maintain
sterile technique; unable to verbalize key
information previously covered in lab and/or class;
third or fourth semester student unable to manage
and/or prioritize multiple patient assignment.
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Decision Making (DM) Examples
A. Assumes inappropriate independence in
action or decisions.
Performs procedures not yet evaluated; fails to
appropriately seek assistance.
B. Fails to recognize own limitations,
incompetence and/or legal responsibilities.
Refuses to admit error; fails to complete assigned
nursing responsibilities, cannot identify own legal
responsibility in specific nursing situations.
Professional Accountability (PA) Examples
A. Fails to accept ethical and legal
responsibility for his/her own actions
thereby violating professional integrity as
expressed in the ANA Code for Nurses,
NSNA Code of Academic and Clinical
Conduct, and the Nurse Practice Act.
Fails to conduct self in professional manner;
falsifies records; does not follow school/hospital
policies and procedures; participates in cheating
and/or plagiarism.
B. Violates patient confidentiality Removes printed patient data from the facility;
shares patient information with individuals outside
the health team.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
CLINICAL SIMULATION
Effective:
Reviewed: 06/01/2017
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The San Diego City College Department of Nursing Education utilizes various clinical simulation activities designed to replicate real-life experiences to enhance and support classroom and clinical learning. The simulation experiences create a learning environment in which students are able to analyze their actions, reflect on their skills and critique their clinical decision making. The active, collaborative learning during the simulation experience will enhance acquisition and retention of knowledge and skills. The simulation experiences are designed to reflect the learning objectives outlined in the nursing
curriculum and coordinate with content presented in classroom and clinical situations. Various
simulation techniques are utilized, including simulated documentation, task trainers, mannequins,
and standardized patient methodologies.
Critical thinking in nursing is an essential component of professional accountability and quality
nursing care. The nursing faculty at San Diego City College has defined critical thinking as follows:
A cognitive (way of thinking) and affective (utilizing the individual’s emotions or feelings) method
of processing (collecting and deciphering information) that encompasses reflective reasoning
(thoughtful decision-making) and problem solving. The Simulation experience is designed to assist
students in the development and enhancement of critical thinking skills.
The ideal critical thinker is consistently questioning, well informed, trustful of reason, open-minded,
flexible, fair-minded in evaluation, honest in facing personal biases, cautious in making judgments,
willing to reconsider, clear about issues, organized in complex situations, diligent in seeking relevant
information and persistent in seeking results. It is these attributes that the Simulation experience
seeks to strengthen.
The Simulation lab is a clinical experience, and all policies related to clinical attendance apply,
including wearing the full uniform, with all equipment (stethoscope, watch, penlight and bandage
scissors), timely arrival and completion of assigned activities. Students and Instructors are expected
to honor the core values established for the profession of nursing by the National League for Nursing
(NLN):
CARING: promoting health, healing and hope in response to the human condition
INTEGRITY: respecting the dignity and moral wholeness of every person without
conditions or limitation;
DIVERSITY: affirming the uniqueness of and differences among persons, ideas, values and
ethnicities
EXCELLENCE: creating and implementing transformative strategies with daring ingenuity
The Simulation Experience
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The simulation experience is composed of 4 parts: preparation, implementation, debriefing and
evaluation.
Preparation: Information required to prepare for the simulation is provided to students in advance
of the assigned simulation experience. Such preparation includes, but is not limited to, research of
disease processes and nursing interventions, pathophysiology, medications and treatments,
development of care plans and review of technical skills. On the day of the simulation, students will
have the opportunity to review preparation materials and will also be oriented to the functioning of
the equipment to be used in the simulation.
Scenario Implementation: Students will be assigned roles appropriate to program level and
content. The students will be supervised and guided by an instructor familiar with simulation
implementation. Students will have the opportunity to interact with each other and a simulated
patient, as well as with the instructor. The instructor will facilitate the simulation, control the
mannequin, serve as a resource and may role-play various members of the health care team,
including primary care provider, supervisor, etc.
Debriefing: At the completion of the simulation, students will be asked to reflect upon the
experience. Debriefing discussions will focus on the following: Reflection‐in‐Action: engaging the student in reflection on actions during the simulation;
Reflection‐on‐Action: looking back at the simulation and exploring actions taken and
feelings related to those actions; and
Reflection‐beyond‐Action: exploring “what if” situations and expanding knowledge beyond the limitations of the simulation into future clinical practice.
Evaluation: Students will be asked to complete evaluations of the simulation experience, including
rating satisfaction with overall instructional strategies, effectiveness of debriefing, etc. Data from the
evaluations will be utilized to improve the program on an ongoing basis. Student performance will
be evaluated by the instructor and areas for improvement will be discussed with the student.
Quality and Safety Education in Nursing (QSEN)
The faculty of San Diego City College Department of Nursing Education believes in, and supports,
the efforts of the Robert Wood Johnson Foundation to improve the quality of nursing care and
nursing education. “The overall goal for the Quality and Safety Education for Nurses (QSEN)
project is to meet the challenge of preparing future nurses who will have the knowledge, skills and
attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems
within which they work.” (www.QSEN.org)
The faculty have developed simulation objectives and assessment instruments designed to assist the
pre-licensure student in attaining the knowledge, skills and attitudes outlined in the selected QSEN
competencies appropriate for the simulation environment. These competencies include:
Teamwork and Collaboration
Evidence-based Practice (EBP)
Quality Improvement (QI)
Safety
Informatics
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THE SIMULATION PROMISE
More than an alternative to clinical, the Simulation experience is designed to be an experience where
students and instructor work together to ensure the success of all students in the group. The
Simulation Lab is a place where students can hone their nursing skills in an environment of mutual
support and respect. Mis-steps are not mistakes or errors, but a chance to learn and improve.
FULFILLING THE PROMISE
Participate: come to simulation prepared! The experience means so much more if you are ready to
work!
Exhibit Professionalism: The Simulation lab is a clinical experience, and all policies related to
clinical attendance apply.
Ask Questions: Use your critical thinking and be prepared to ask “Why?” many times!
Seek Answers and Solve Problems: Work together with students and instructor to develop
solutions to patient care problems.
Avoid Distractions: Successful students are focused during learning experiences. Staying engaged
is a key to a successful simulation experience. Please leave all cell phones and other electronic
devices in the “OFF” position (not silent, but off) to help us create a learning environment dedicated
to the task at hand.
There are simulation materials posted on the Blackboard site for your nursing class. Please
familiarize yourself with those materials and bring materials to simulation as requested. Look for
announcements on Blackboard to see what to bring.
Working together, students and instructors can fulfill the promise of excellence in learning.
Simulation Day Plan
Time Frame (8am-4pm) Activity
Hours 1 (8a-
9a)
“Pre-Conference”
Review objectives, plan for the day, prerequisite
knowledge
o Cognitive
o Psychomotor
Hours 2-4 (9a-
11a)
Review & Practice related assessments
Perform and Document Assessment
Identify normal & abnormal findings from assessment
Hours 4-6
(12a-3p)
Work through desired scenario
Perform skills
Document tasks
Hours 7-8
(3p-4p)
Debrief
What went well
What did not go well
What would have worked better
Comments from colleagues
Care Plans
Clean Up
Breaks will be provided as appropriate throughout the day, including a lunch break.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
ATTENDANCE TRACKING
SKILLS LABORATORY NRSE 108, NRSE 121, NRSE 206
NRSE 108, 121 (First Year) and NRSE 206 (Second Year) Lab
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The NRSE 108, 121 and 206 lab is designed for students to do skills practice, computer
work, group work, meeting with the tutor, and any class work or study time while on campus. You need
to have 48 hours for the 16 weeks. These hours may NOT be during class or scheduled clinical time.
Faculty members assigned to the NE 108 or NE 206 Skills Lab courses will be available during posted
hours to answer questions and assist with obtaining needed materials. If you are enrolled in NE 108 or 206,
you will need to sign in and out via the attendance tracking system.
PROCEDURE: Directions for Signing In and Out of Lab
1. Turn the computer on and in CLASS mode.
2. Enter your student ID number when you BEGIN lab time.
3. Enter your student ID number when you are FINISHED with lab time.
4. The computer will show the current hours of lab time completed when the student first logs in.
The completed hours will not show up for 24 hours after logging out. When logging in again
the lab hours will have been updated and will be displayed.
5. If the student forgets to LOG IN or LOG OUT the computer will only give
a. One (1) hour of lab time.
6. If the student wants hours and forgot to log in or out, they are responsible to
complete the:
ATTENDANCE TRACKING SYSTEM BACK-UP FORM
The forms are located outside of Prof. Hales’ office or outside of the big window in the administrative
office. Forms are returned to the Nursing Office.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
CLINICAL DRESS CODE
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The student is expected to maintain a professional appearance while in the clinical
setting. Excesses in makeup, perfume/cologne or jewelry, hairstyles which compromise the sterile
environment, and the wearing of ill-fitting uniforms, may make it difficult for the student to be
regarded by others as a professional. Ultimately, the decision concerning a student's professional
appearance will rest with the clinical faculty. Students must be in appropriate attire at all times
including when they are in the facility doing pre-clinical research.
1. Uniform School-specified clean uniform whenever student is in the clinical area,
including preclinical research. Only plain white short sleeved T-shirts may be
worn under uniform. Undergarments must not be visible under uniforms.
Uniforms must be washed after each wearing. Uniforms may not be worn
outside of school sanctioned clinical activities.
2. Scents The use of perfumes, scented lotions, colognes or aftershave is not allowed
due to possible patient sensitivity or allergy. Cigarette smoke/odor is not
acceptable in the clinical area.
3. Hair Hair color must fall within naturally occurring shades, be neat, clean and up
off the collar or secured back. Facial hair must be clean and neatly trimmed.
4. Nails Fingernails must be clean, neat and fingertip length only. Clear un-chipped
polish may be worn. No artificial or acrylic nails or components thereof are
permitted. (Refer to Infection Control Policy).
5. Makeup May be worn in moderation.
6. Jewelry Only wedding rings or plain, simple rings are permitted (maximum – one ring
per hand).
7. Piercing No piercing or jewelry/hardware may be evident except for one small stud
earring in each ear.
8. Tattoos All tattoos must be covered at all times.
9. Patch The San Diego City College Nursing Student Patch must be affixed to the left
upper sleeve of each uniform and lab coat
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10. ID Badge The picture identification name badge must be worn and clearly visible during
all clinical activities. Facilities will require students to be sent home if ID
badge is not evident.
11. Lab Coats School-specified lab coat only (Dove); sweaters are not permitted in patient
care areas.
12. Shoes Clean black leather oxfords or slip-on leather shoes with closed toes and heels.
and Socks All-leather black athletic shoes are acceptable (brand name lettering must be
in black only). Canvas tennis shoes are not acceptable. Socks must be black.
13. Equipment Stethoscope with a diaphragm & bell, safety goggles, watch with a sweep
second hand or digital second indicator, penlight, bandage scissors and
ballpoint pen with black ink are required at all times in the clinical area. Optional items include pocket organizer, hemostat, back support and
calculator.
In addition to the dress code, it is expected that all students follow good personal hygiene
habits, which include taking a daily bath or shower, the use of an effective deodorant, a daily
change of undergarments and frequent oral hygiene.
Modifications of the Dress Code may be made for certain clinical rotations based on the policies of
the facility utilized. Such changes will be described by your clinical instructor. Adherence to the
Dress Code is mandatory. Students must leave the clinical site, if not appropriately attired or
well- groomed, resulting in a clinical absence.
Attire for On-campus Clinical Laboratory
Because we are concerned about the safety and privacy of each of you as individuals, it is extremely
important for you to be protectively and appropriately dressed during laboratory practice exercises.
During all on campus clinical laboratory experiences students are required to wear full uniform,
including name badges. Hair must be up and off the shoulders. Supportive undergarments are
recommended for all laboratory activities. Inappropriate attire will preclude your participation in
class activities. (This policy includes NE 108 and 206)
In addition, in order to meet specific learning objectives for certain courses, each student will be
required to practice and demonstrate nursing skills with another student, serving both as the patient
and then as the nurse. The practice of these skills may cause a slight degree of embarrassment for
some students, since certain body parts may need to be exposed. Appropriate draping will be
performed and individual’s privacy will be maintained.
Note: Students will be responsible for restoring the lab to its original state at the end of each day.
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SAN DIEGO CITY COLLEGE
NURSING EDUCATION
CLINICAL PERFORMANCE EVALUATION
Effective: 1/2007
Reviewed: 7/2017
Revised: 1/2007
Associate Dean, San Diego City College, Nursing Program
Student’s Name ____________________________________________ Date ____________________
Clinical Facility ________________________________ Rotation: From _________ to __________
Attendance: Days Absent ___________________ Number of Days Tardy ____________________
S NI U
1. Communication Skills:
a. Utilizes appropriate communication styles and basic leadership skills in client care
management.
b. Use of select therapeutic communication techniques to establish a therapeutic environment
c. Communicates relevant, accurate and complete information in a concise and clear manner
2. Critical Thinking:
a. Utilizes nursing process to plan, implement, and evaluate care for clients.
Assessment: Performs comprehensive assessment, applies theoretical concepts to
clinical situation, identifies changes in health status, assesses significant factors
affecting client’s ability to meet needs, and recognizes clients at risk for
complications
Diagnosis: Identifies actual and at risk client problems from assessment data,
selects appropriate NANDA approved nursing diagnoses, identifies potential
complications associated with client medical diagnoses
Planning: Participates with client, family, significant others, and health team to
plan outcomes and therapeutic interventions, develops a written plan of care,
establishes priorities according to client need, selects appropriate methods of
instruction for teaching plan
Implementation: Implements plan of care according to priority of client needs,
adjusts priorities for therapeutic nursing interventions as client’s situation changes,
assumes responsibility for care of assigned clients, including supervision of care
given by other members of the health care team
Evaluation: Compares and evaluates client’s behavior with expected outcomes,
evaluates learning by noting changes in client behavior and identifies need for
community resources, evaluates client response to medications and procedures,
modifies nursing care plan as necessary
b. Makes clinical judgments and management decisions to ensure accurate and safe client
care
c. Uses evidence based data to support clinical decision making
3. Teaching/ Learning
a. Develops an individualized teaching plan based on assessed needs
b. Teaches the client and family the information and skills needed to achieve desired learning
outcomes
c. Evaluates the progress of the client and family toward achievement of outcome
d. Modifies the teaching plan based on evaluation of client progress
e. Provides the client and family with the information to make choices regarding health
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_____________________________________ _____________________________
Faculty Signature/Date Student’s Signature/Date
S NI U
4. Diversity:
a. Identifies and honors the developmental, emotional, cultural, and spiritual influences on
the client’s health
b. Adapts care in consideration of the client’s values, customs, culture, and or habits
5. Professionalism:
a. Practices within the ethical, legal, and regulatory frameworks of professional nursing
practice
b. Demonstrates accountability for nursing care given by self and or delegated to others
c. Uses standards of nursing practice to perform and evaluate client care
d. Advocates for client rights
e. Participates as a member of professional organizations
f. Serves as a positive role model within healthcare settings and the community
g. Participates in lifelong learning
h. Delineates and maintains appropriate professional boundaries in the nurse-client
relationship
6. Leadership:
a. Applies principles of time management, organization, delegation and priority setting in
providing nursing care
b. Collaborates with the client, family and members of the healthcare team to provide
quality nursing care
c. Correlates theoretical concepts and clinical practice to identify the complex needs of
clients in multiple settings
7. Information Competency:
a. Employs appropriate scientific resources and technology to plan and deliver client care.
b. Documents client care as per facility policy.
8. Demonstrates personal responsibility:
a. Demonstrates truthfulness and honesty
b. Arrives in clinical prepared to provide care to assigned client(s)
c. Evaluating own performance in anecdotal notes each week
d. Uses constructive criticism and suggestions for improving nursing practice
e. Arriving on time
f. Informing of absence
g. Submitting all assignments correctly and on time
h. Participation in all conferences
S=Satisfactory; NI=Needs Improvement; U=Unsatisfactory/Unsafe S NI U
Instructor Comments:
Student Comments:
100
Student Nurses Association
Program Completion
Graduation/Pinning
101
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
PROFESSIONAL ORGANIZATIONS
Effective:
Reviewed: Revised:
Associate Dean, San Diego City College, Nursing Education Program
One of the achievements of professional nursing after World War II was the completion of the plan
for the reorganization of the structure of professional nursing, which resulted in two major national
organizations. One organization of, by, and for professional nurses, to have full responsibility for
those functions, which the members of any profession should perform for themselves, is the
American Nurses' Association (ANA). The second organization, the National League for Nursing
(NLN) brought together the National League for Nursing Education, the American Association of
Collegiate Schools of Nursing and the National Organization for Public Health Nursing (Griffin &
Griffin, History and Trends of Professional Nursing).
Through ANA, nurses work for the continuing improvement of professional practice, the economic
and general welfare of nurses and the health needs of the American public. Nurses and friends of
nursing of all races, creeds and national origins, act together to provide the people of their
communities with the best possible nursing service and to assure quality nursing education according
to NLN policies.
The student in nursing is encouraged to begin participating in professional organizations while yet a
student. To enable the student to do this, the National Student Nurses' Association (NSNA) was
formed. The NSNA was organized during the convention of the National League for Nursing in
1953, in Cleveland, Ohio.
The San Diego Student Nurses' Association is a regional branch of the California State Student
Nurses' Association. Each registered nursing program in the region forms a separate local
association.
The San Diego City College Associate Degree Nursing Program is expected to organize and form a
local association at the beginning of each year. Membership dues are collected for the National SNA
and the California Nursing Students’ Association (CNSA). Local dues are determined by the local
membership and retained in the local organization's treasury.
102
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
ADSNA BYLAWS
Effective:
Reviewed: Revised:
Associate Dean, San Diego City College, Nursing Education Program
ASSOCIATE DEGREE STUDENT NURSES’ ASSOCIATION OF SAN DIEGO CITY COLLEGE
PREAMBLE
Recognizing that nurses, as members of the health care team, are committed to improving health and
rendering quality nursing care, students in a program of nursing education, which provides learning
opportunities for competence in primary health care practice, must be prepared to accept and assume
the responsibility for quality nursing care in the best interests of the patient. The Associate Degree
Nursing Students of San Diego City College hereby organize themselves in conformity with the By-
Laws, Rules and Regulations stated herein.
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ASSOCIATE DEGREE STUDENT NURSES’ ASSOCIATION OF SAN DIEGO CITY COLLEGE
ARTICLE I
NAME
The name of this organization shall be the Associate Degree Student Nurses’ Association (ADSNA)
of San Diego City College, a local association of the Student Nurses' Association of California.
ARTICLE II
PURPOSE
The Student Nurses’ Association of San Diego City College is organized for the following purposes:
1. To assist student nurses to unite together to advance the profession of nursing and to strengthen
the efforts of each individual student in the pursuit of their goals.
2. To support and work with the local Coordinating Council of the Student Nurses' Association of
California, and to be an active participant of the State Association at the personal discretion of
each individual member.
3. To encourage participation in the activities of the National Student Nurses' Association.
4. To maintain self-government in accordance with the policy of San Diego City College.
5. To initiate interest and enthusiasm for membership in the American Nurses' Association, the
professional organization for Registered Nurses.
6. To promote interest in the National League for Nursing.
ARTICLE III
MEMBERSHIP
Section 1. All students in the Nursing Education Program of San Diego City College shall be
eligible for membership.
Section 2. Each member in good standing is automatically eligible to become a member of
the Student Nurses' Association of California & the National Student Nurses'
Association, Inc.
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ASSOCIATE DEGREE STUDENT NURSES’ ASSOCIATION OF SAN DIEGO CITY COLLEGE
ARTICLE IV DUTIES OF OFFICERS
Section 1. The officers of this association shall consist of one president (Year II), two vice-
presidents (Year I & Year II), two treasurers (Year I & Year II), one secretary &
one Associated Student Body (ASB) representative.
Section 2. A student shall be eligible for office if he or she holds an ASB card & has a grade
point average of 2.0 or better.
Section 3. The officers shall be elected at the annual meeting to serve a one-year term.
Section 4. Officers shall perform the duties of their respective offices and agreed-upon duties
as determined by the executive board.
Section 5. The President Shall:
a) call and conduct all meetings of this association and of the executive board.
b) perform all duties properly designated by the executive board.
c) appoint or approve committees with the consent of the executive board.
d) approve expenditures as submitted by the treasurers and authorized by the
executive board.
e) act as an official representative of the student body at various campus and
community events as well as by serving on designated faculty committees (see
Article XIV, section 1).
f) be a member of CNSA.
g) act as a liaison between the National, State, and Local Student Nurses'
Associations.
h) attend association meetings. If unable to attend, the president will assign an
alternate.
Section 6. The Vice-President (Year II) Shall:
a) assume the responsibilities of the president during his/her absence, and
succeed to the office of president, should it become vacant.
b) chair the Activities Committee, which involves coordinating fund-raising and
social events.
c) bring concerns expressed by classmates to the executive board.
Section 7. The Vice-President (Year I) Shall:
a) chair the Activities Committee, which involves coordinating fund-raising and
social events.
b) collect and maintain detailed minutes from each graduation committee
meeting.
c) bring concerns expressed by classmates to the executive board.
d) serve on designated faculty committees (see Article XIV, section 1).
Section 8. The Secretary Shall:
a) prepare and record the minutes of all meetings of this association and of the
executive board.
b) maintain a permanent record of all organization correspondence.
c) notify members of the association of the time and place of all meetings.
105
d) conduct the general correspondence of the association, as requested by the
president or the executive board.
e) maintain an accurate file of names, addresses and phone numbers of all
student body members.
f) submit copies of minutes to the Director and faculty advisor.
g) post copies of minutes on selected student bulletin boards.
h) submit copies of all minutes and correspondence to Director of program
following tenure.
Section 9. The Treasurers (Year I & II) Shall:
b) maintain a record of all funds of this association.
c) request monetary disbursements, with the approval of the president and as
authorized by the executive board, according to the policy of the college.
d) maintain accurate entries of receipts and disbursements of the organizational
funds.
e) maintain a permanent record of all paid dues, together with a register of all
members in good standing.
f) report status of student body finances at each organizational meeting.
Section 10. The ASB Representative Shall:
a) act as a liaison between the Student Nurses’ Association and the Associated
Study Body.
b) attend the Associated Student Body board meetings on campus. If unable to
attend, the ASB representative will assign an alternate.
ARTICLE V
EXECUTIVE BOARD
Section 1. The executive board shall consist of the student officers and the faculty advisors.
Any member of this association, however, may attend executive board meetings.
Section 2. The executive board shall:
a) meet at such times as deemed necessary by the president or a majority of the
board.
b) transact necessary business of this association between regular meetings and
report such transactions at the next regular meeting of the association.
c) have the power to fill vacancies in any offices, except those of president and
vice-president.
ARTICLE VI
ELECTIONS
Section 1. Primary elections will be held during September-October with no fewer than one
candidate per office.
Section 2. Candidates will submit written platforms of intentions to the Director of the
Nursing Education Program for viewing by all student body members.
Section 3. The Director of the program must give final approval of the slate of candidates.
106
Section 4. Nominations will be made directly from the floor - time and place to be scheduled
so that all members have an opportunity to vote; votes will be cast by written
ballot.
Section 5. Election results will be decided by a simple majority if two or more candidates are
running for an office and 51% majority if one person is running for an office. In
the case of a tie or less than 51% of the vote attained, re-voting will occur.
Section 6. Terms of office shall commence directly after results of elections.
Section 7. In case of vacancy of president, vice-president shall assume office. In case of
vacancy of vice-president, a special election meeting shall be scheduled.
ARTICLE VII
VOTING POWER AND QUORUM
Section 1. Each member shall have one vote.
Section 2. A quorum at general meetings shall consist of a simple majority (51%) of the
members present at any regular or special meeting.
Section 3. A quorum of the executive board shall be a simple majority.
ARTICLE VIII
MEETINGS
Section 1. Meetings of this association shall be held once a month and at such other times as
determined by the executive board members. Notice of regular meetings shall be
posted or announced.
Section 2. This local is entitled to one voting delegate and alternate to the annual convention
of CNSA, as stated in House of Delegates, By-Laws.
ARTICLE IX
COMMITTEE ACTIVITIES
Section 1. The Activities Committee, chaired by the vice-president, shall plan educational
and social events for this association.
Section 2. The By-Laws Committee, chaired by the parliamentarian, shall receive all
proposed amendments to the By-Laws of this association, and shall submit
proposed amendments to the executive board before being presented to the
membership.
Section 3. Membership on all committees shall be comprised of students in good standing in
the A.D.S.N.A.
Section 4. Standing committees shall meet as necessary at a time and place designated by the
respective chairperson. Reports are to be given to the executive board and then to
all association members.
107
Section 5. Any standing committee shall be formed when a request is made to the executive
board stating the objectives and goals of the Committee. Final approval by the
executive board shall be required.
ARTICLE X
DUES
Section 1. The annual dues shall be three dollars ($3.00) per member per month, for the
academic year, September to June, payable monthly or in a lump-sum amount.
Amount of annual dues shall be re-evaluated with each revision of By-Laws. Any
member who does not pay dues is required to pay for any student expenses for
which funds of this association are appropriated.
ARTICLE XI
AMENDMENTS
Section 1. These By-Laws may be amended at a regular meeting by a two-thirds vote of the
members present, provided the amendment has been posted for ten (10) days prior
to designated meeting.
ARTICLE XII
CONSULTANT
Section 1. This local shall have two advisors who are faculty members of the Associate
Degree Nursing Program.
Section 2. The advisors shall counsel as the need arises.
ARTICLE XIII
PARLIAMENTARIAN/PARLIAMENTARY AUTHORITY
Section 1. A parliamentarian shall be appointed by the executive board.
Section 2. The parliamentarian shall be chairperson of the By-Laws committee.
Section 3. The parliamentarian shall attend meetings of the executive board, but without vote.
Section 4. The rules contained in Roberts' Rules of Order, shall govern the association in all
cases to which they are applicable and to which they are not inconsistent with these
By-Laws.
ARTICLE XIV
REPRESENTATION ON FACULTY COMMITTEES
Section 1. The president and an alternate class representative from each year of the Associate
Degree Nursing Program will participate on the following faculty committees:
a. department
b. curriculum
c. student services
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Section 2. Students will be notified in writing of the scheduled committee meetings and
agenda.
Section 3. Student Committee Representatives will have input pertaining to:
a. program philosophy and objectives
b. curriculum and instruction
c. policies and procedures
ARTICLE XV
REVISION OF ARTICLES OF TRADITION
Section 1. The pin, designated as representative of S.D.C.C. School of Nursing, shall be
reviewed for revision, if indicated. A liaison committee composed of faculty and
students shall coordinate said review, if said review is deemed appropriate. Final
approval of revision rests with faculty members and director.
Section 2. The uniform designated as representative of S.D.C.C. School of Nursing, shall be
reviewed for revision if indicated. A liaison committee composed of faculty and
students shall coordinate said review, if said review is deemed appropriate. Final
approval of revision rests with faculty members and director.
ARTICLE XVI
FISCAL YEAR
Section 1. The fiscal year of this association shall be the academic year.
ARTICLE XVII
ASSOCIATED STUDENT BODY FUNDS
Section 1. Monies will be assigned to the singular registered nursing program, recognized as
the Associate Degree Student Nurses’ Association of SDCC, to be distributed to
and by the organization, as it deems necessary.
PLEASE NOTE: Yearly activation of this organization must occur in order to access and store
student-generated funds (See faculty advisor or program director for details).
Please refer to San Diego Community College District Policy 3200: Student Organizations,
for additional clarification on Student organizations.
http://www.sdcity.edu/CampusLife/StudentClubs
http://www.sdcity.edu/About/OfficesAndAdministration/StudentAffairsOffice.aspx
109
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
NATIONAL STUDENT NURSES ASSOCIATION
CODE OF CONDUCT
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
PREAMBLE
Students of nursing have a responsibility to society in learning the academic theory and clinical skills
needed to provide nursing care. The clinical setting presents unique challenges and responsibilities
while caring for human beings in a variety of health care environments.
The Code of Academic and Clinical Conduct is based on an understanding that to practice nursing as
a student is an agreement to uphold the trust with which society has placed in us. The statements of
the Code provide guidance for the nursing student in the personal development of an ethical
foundation and need not be limited strictly to the academic or clinical environment but can assist in
the holistic development of the person.
A CODE FOR NURSING STUDENTS
As students are involved in the clinical and academic environments we believe that ethical principles
are a necessary guide to professional development. Therefore within these environments we:
1. Advocate for the rights of all patients.
2. Maintain patient confidentiality.
3. Take appropriate action to ensure the safety of patients, self and others.
4. Provide care for the patient in a timely, compassionate and professional manner.
5. Communicate patient care in a truthful, timely and accurate manner.
6. Actively promote the highest level of moral and ethical principles and accept responsibility for
our actions.
7. Promote excellence in nursing by encouraging lifelong learning and professional development.
8. Treat others with respect and promote an environment that respects human rights, values and
choice of cultural and spiritual beliefs.
9. Collaborate in every reasonable manner with the academic faculty and clinical staff to ensure the
highest quality of patient care.
10. Use every opportunity to improve faculty and clinical staff understanding of the learning needs of
nursing students.
11. Encourage faculty, clinical staff and peers to mentor nursing students.
12. Refrain from performing any technique or procedure for which the student has not been
adequately trained.
13. Refrain from any deliberate action or omission of care in the academic or clinical setting that
creates unnecessary risk of injury to the patient, self or others.
14. Assist the staff nurse or preceptor in ensuring that there is full disclosure and that proper
110
authorizations are obtained from patients regarding any form of treatment or research.
15. Abstain from the use of alcoholic beverages or any substances in the academic and clinical
setting that impair judgment.
16. Strive to achieve and maintain an optimal level of personal health.
17. Support access to treatment and rehabilitation for students who are experiencing impairments
related to substance abuse and mental or physical health issues.
18. Uphold school policies and regulations related to academic and clinical performance, reserving
the right to challenge and critique rules and regulations as per school grievance policy.
Adopted by the NSNA House of Delegates, Nashville, TN on April 6, 2001.
111
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
CALIFORNIA BOARD OF REGISTRERED NURSING POLICY
ON DENIAL OF LICENSURE
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
The California Board of Registered Nursing protects the public by screening applicants for licensure
in order to identify potentially unsafe practitioners. Statutory authority for denial of licensure is set
out in Business and Professions Code, Sections: 480-487, 496, 810, 820-828, 2750-2765, and 2795-
2797. http://www.rn.ca.gov/pdfs/enforcement/discguide.pdf
The law provides for denial of licensure for crimes or acts, which are substantially related to nursing
qualifications, functions or duties. A crime or act meets this criterion if, to a substantial degree, it
evidences present or potential unfitness to perform nursing functions in a manner consistent with the
public health, safety or welfare (California Administrative Code, Section 1444).
The Board may deny licensure on the basis of:
Conviction of a crime substantially related to the practice of nursing.
Any act involving dishonesty, fraud or deceit with intent to substantially benefit self or
another or to substantially injure another.
Any act which is grounds for revocation of a license.
Making a false statement on the license application.
Breach of examination security.
Convictions
The Board considers most convictions involving sex crimes, drug crimes and crimes of violence to
be substantially related to nursing practice. Board regulations list examples of such crimes or acts to
include, but not be limited to:
Conviction of child abuse.
Violation of the Nurse Practice Act.
Conviction as a mentally disordered sex offender.
Crime or act involving narcotics, dangerous drugs or dangerous devices.
Conviction of assault and/or battery.
Rehabilitation
If the Board determines that an act or crime is substantially related to the practice of nursing, then it
is the responsibility of the applicant to present sufficient evidence of rehabilitation.
When considering a denial of license, the Board takes into account the following criteria to evaluate
the rehabilitation of the applicant (California Administrative Code, Section 1445).
1. Nature and severity of the acts or crimes
2. Additional subsequent acts
3. Recency of acts or crimes
112
4. Compliance with terms of parole, probation, restitution or other sanctions
5. Evidence of rehabilitation submitted by applicant
It should be noted that the Board applies the same denial criteria for applications for interim permits
and temporary licenses as it uses for permanent licensure.
In summary, the Board of Registered Nursing screens applications fairly but cautiously, applying the
preceding criteria. Schools of nursing are encouraged when counseling prospective nursing students
to make them aware that there could be potential licensure problems due to serious acts or
convictions as described above. In this manner, students have the opportunity to explore other career
options prior to investing substantial time in a nursing program if it appears that a prior serious act or
conviction may jeopardize licensure due to its substantial relationship to the practice of nursing.
113
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
PROGRAM COMPLETION/ PETITION FOR GRADUATION
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
Students are responsible for completing the General Education requirements for the Associate
Degree prior to taking the National Licensure Examination (NCLEX-RN).
It is imperative that each student plan their educational program to complete these courses in a
timely manner. Students completing the nursing education program without completing degree
requirements may be limited in their ability to transfer to baccalaureate institutions or practice
nursing in other states.
PETITION FOR GRADUATION:
Students are responsible for filing a Petition for Evaluation & Graduation consideration with the
Evaluation's Office by the end of the first year of the program for generic students and at the onset of
the Fall semester for LVN-RN Advanced Placement Students. Failure to petition for graduation will
delay the student’s Approval for Candidacy for NCLEX.
114
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
GRADUATION/COMPLETION CEREMONY
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: A completion/pinning ceremony may be conducted at the end of the second year of the
nursing program, indicating that each student has met the necessary program requirements. At this
time, students will receive the designated school pin, which they have previously purchased. The completion ceremony will be held on campus and all students are expected to attend. Families
and friends of the graduates are invited as well. The students, with the assistance of the Director and the faculty advisors, will work together to plan
and organize this celebration. A standard protocol must be followed. The Director of Nursing
Education must approve all details and final arrangements pertaining to the completion
ceremony.
In addition, students completing the ADN program will graduate, as a group, at the San Diego City
College Graduation Ceremony. Students will wear white caps and gowns to differentiate them from
other degree candidates. Students are to purchase caps and gowns from the bookstore for a nominal
fee.
NURSING PLEDGE
In the full knowledge of the responsibilities I am undertaking, I promise to care for my patients with
all the knowledge, skills and understanding I possess, with compassion and respect for the inherent
dignity, worth and uniqueness of every individual, sparing no effort to conserve meaningful life, to
alleviate suffering, and to promote health.
I will respect, at all times, the dignity and religious beliefs of the patients under my care and hold in
professional confidence all personal information entrusted to me. I will refrain from any action,
which might endanger the quality of life or health.
I will endeavor to keep my professional knowledge and skill at the highest level and to give my
support and cooperation to all members of the health team.
With full awareness of my qualifications and limitations, I will do my utmost to maximize the
potential of the nursing profession and to uphold and advance its standards.
Adapted from Ruby L. Wilson, EdD, RN, Professor of Nursing, Dean Emerita, School of
Nursing, Assistant to the Chancellor of Health Affairs, Duke University Medical Center,
Durham, NC.
115
SAN DIEGO CITY COLLEGE
NURSING EDUCATION
PINNING CEREMONY
Effective:
Reviewed:
Revised:
Associate Dean, San Diego City College, Nursing Education Program
POLICY: The completion/pinning ceremony represents the culmination of an educational program
that prepares individuals to enter the profession of nursing. All students who have satisfactorily met
the curricular requirements are required to participate in this significant event. It is at this time that
students will receive the designated school pin as a symbol of their accomplishment (Please note that
pins are purchased by individual students or encumbered by organization dues).
The Pinning Ceremony will be held on the campus of San Diego City College. Arrangements must
be made at least six months in advance to reserve the venue for rehearsal use and the event itself
(Please check with the Student Services Committee for specific details). Months in advance,
contact must be made regarding any services being used for any needed equipment and set up of
same.
Items required:
Flags (California & USA)
Chairs for students & speakers
Podium with microphone
Additional microphones
Table for nurses' pins and Table Cloth
A graduation committee may be formed under the direction of the Vice-President, according to
ADSNA By-laws, to work on additional details pertaining to the ceremony, such as:
Flowers and decorations Music (singer, accompanist, songs)
Ordering & display of pins Invitations/announcements*
Program/program covers Photographer
Slide presentation Speakers
Cards of acknowledgement/thank you Reception
Invitations are to be supplied to the Nursing Department Secretary for distribution to various campus
administrators and community representatives.
Please note: The words "Licensed", "Registered Nurse", or "RN" may not be printed on the program
or any distributed announcements/invitations. Copies of programs, invitations and announcements
from previous completion ceremonies are available from the Director.
Reminder: All details of the program, including selection of speakers, announcements, invitations,
etc., are to be approved by the Director, Nursing Education. Printed materials must be proofread by
the respective faculty advisor(s) and program director.
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Pinning Ceremony Program
The printed formal program will include, but is not limited to, the following components:
1. Processional
2. Pledge of Allegiance
3. Welcome
4. Introductions
5. Speakers
6. Pinning of students*
7. Presentation of Class
8. Recessional
The Director or Director's designee will perform the actual pinning. Students who choose not to
purchase a PIN must bring in a facsimile to be used. Pins must be approved by the director.
In addition, a variety of musical selections may be incorporated within the body of the ceremony.
These selections are to be decided by a class vote with input from the faculty advisor and Director.
The class is to vote on an overall "theme" for the completion ceremony, which represents the
message that they want to impart, as they move on in their professional careers.
If slides are to be used during the ceremony, they must be previewed by the faculty advisor and the
Director, well in advance; and, if approved, are to be coordinated with audio-visual technician.
Attire
Students are required to wear the designated school uniform without the student patch.
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APPENDICES
118
Appendix A
ATI COMPREHENSIVE ASSESSMENT AND REVIEW PROGRAM
What is ATI? Assessment Technologies Institute (ATI) offers an assessment driven review program designed to enhance
student academic and NCLEX-RN success. The comprehensive program offers multiple assessment and
remediation activities. These include assessment indicators for academic success, critical thinking and learning
styles, online tutorials, online practice assessments and proctored assessments over the major content areas in
nursing. ATI information and orientation resources can be accessed from the ATI student home page.
It is highly recommended that students spend time navigating through these orientation materials.
COMPREHENSIVE ASSESSMENT AND REVIEW PROGRAM (CARP)
The CARP is designed to assist students on the licensure exam and enhance overall academic success while
enrolled in the Nursing Education Program. Used as a comprehensive program, and combined with the content
of the Nursing Education Program, the CARP can assist students prepare for course exams more efficiently, as
well as increase confidence and familiarity with content that reflects the NCLEX exam.
Modular Study ATI provides online review modules that include written and video materials in all content areas. Students are
encouraged to use these modules to supplement course work. These modules may be assigned by instructors
during the course and/or as part of active learning/remediation following assessments.
Tutorials
ATI offers unique Tutorials that teach nursing students how to think like a nurse, how to take a nursing
assessment and how to make sound clinical decisions. Nurse Logic is an excellent way to learn the basics of
how nurses think and make decisions. Learning System offers practice tests in specific nursing content areas
that allow students to apply the valuable learning tools from Nurse Logic. Features are embedded in the
Tutorials that help students gain an understanding of the content, such as a Hint Button, a Talking Glossary and
a Critical Thinking Guide.
Assessments
Standardized Assessments will help the student to identify what they know as well as areas requiring active
learning/remediation. There are practice assessments available to the student and standardized proctored
assessments that are scheduled during the nursing courses. The Comprehensive Predictor is a comprehensive
assessment tool that is predictive for passing the NCLEX-RN. Scores are reported for content, nursing process,
critical thinking, therapeutic interventions, communication skills and cognitive level.
Active Learning/Remediation
Active Learning/Remediation is a process of reviewing content in an area that was not learned or fully
understood as demonstrated by performance on an assessment. Active Learning/Remediation is intended to
help the student review important information to be successful in courses and on the NCLEX. The student’s
individual performance profile will contain a listing of the topics to review. The student can remediate using the
Focused Review which contains links to ATI review modules, media clips and active learning templates.
Instructors have online access to detailed information about the timing and duration of time spent in the
assessment, focused reviews and tutorials by each student. Students must provide documentation that the
119
required Practice Assessments and Remediation is completed using the “My Transcript” feature under the “My
Results” tab of the ATI Student Home Page and submit the transcript prior to taking the Proctored Assessment.
The complete package of student assessment and review materials includes:
I. Entrance
Test of Essential Academic Skills (TEAS) Self-
Assessment Inventory
Critical Thinking Entrance/Exit Assessment
Quest for Academic Success
II. Content Mastery Series
Assessment and review are designed in accordance with the NCLEX-RN test blueprint and cover the
following nursing specialty areas:
Fundamentals of Nursing - Includes foundations of practice, health care continuum, holistic healing,
nursing process, growth and development, helping relationships, basic communication, teaching and
learning, leadership, management and change, health assessment, basic nursing skills, perioperative
nursing care, supporting sensoriperceptual functioning and basic comfort care needs. (NE 142)
Maternal/Newborn Nursing Care - Includes content on women's health care, physiologic changes
and potential complications during pregnancy, labor, delivery and the postpartum period. Newborn care
and potential health care problems are included. Cultural considerations, pharmacology and nutrition
are integrated into this lifespan approach test. (NE 146)
Nursing Care of Children - Covers topics related to the growth and development of children,
common health disorders, socio-cultural and emotional issues, communication and therapeutic
modalities. (NE 146)
Mental Health Nursing Care - Contains content related to mental health disorders, therapeutic milieu,
special populations and stress/crisis management. (NE 242)
Medical/Surgical Nursing Care- Covers the major physiologic systems, as well as fluid and
electrolyte, acid-base balance and pharmacological considerations. (NE 244)
Nutritional Care – Covers nutritional concepts and dietary management for specific health care
problems. (NE 144)
Pharmacology for Nursing Practice - Covers basic pharmacological principles and management of
health care disorders with medications. Some components of the test include dosage and fluid
calculations, drug relationship indications and interactions and safety with medication administration.
(NE 240)
Nursing Leadership - Assesses the student's knowledge regarding the nurse's role in leadership and
management within the multidisciplinary team. Included are items related to safety, decision-making,
supervision, planning, counseling, delegation and identification of client needs. (NE 246)
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Appendix B
RN Comprehensive Predictor® 2016 Probability of Passing Expectancy Table
RN COMPREHENSIVE PREDICTOR 2016 INDIVIDUAL SCORE PREDICTED PROBABILITY OF
PASSING THE NCLEX-RN©
Individual Probability of Passing
Score
80.0% – 100.0% 99%
79.3% 98%
78.7% 98%
78.0% 98%
77.3% 98%
76.7% 97%
76.0% 97%
75.3% 97%
74.7% 96%
74.0% 96%
73.3% 95%
72.7% 95%
72.0% 94%
71.3% 93%
70.7% 92%
70.0% 91%
69.3% 90%
68.7% 89%
68.0% 87%
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67.3% 86%
66.7% 84%
122
Appendix C
NURSING PROCESS / CARE PLANNING
GUIDE TO EXPECTATIONS AND REQUIREMENTS
Definition: The Nursing Process is a systematic, rational method of planning and providing nursing care. Its
goal is to identify a patient’s health care status, actual or potential health problem, to establish plans to meet
unmet needs, and to implement specific nursing interventions to meet those unmet needs. It provides a
framework within which nurses use their knowledge and skills of Human Response to express caring.
Faculty expectations in red
Assessment – Collection, validation, organization and recording of patient data
Gather information, collect data systematically - HX, PE, Diagnostics.
Include all Basic Needs on Assessment tool
Organize and Record –
o Subjective - what the patient says (SYMPTOMS) and o Objective - what you see - clear, factual, no interpretation needed (lab, diagnostic data), uses
accepted standard (SIGNS).
Should see S & S of whatever nursing diagnosis used
Validate the data - compare subjective & objective, clarify ambiguous or vague statements, double check
extremely abnormal data, determine presence of factors that may interfere with accurate measurement
Diagnosis - a clinical judgment about an individual, family or community response to actual or potential health
problem / life process for which the nurse can prescribe primary interventions for treatment or prevention.
Cluster, analyze and interpret data,
Draw conclusions, identify problems/patient needs and prioritize them.
Identify Risks and strengths - resources, abilities to cope.
Must use PES format, Problem, Etiology, Signs and Symptoms. Required
Format: Problem r/t: AEB: Required
Planning / Outcomes – Setting priorities, establishing outcomes and selecting nursing interventions to develop a
nursing care plan.
Set priorities - what is important to you and to the patient? -- safety, physiologic needs usually 1st.
Establish patient outcomes - what you hope to achieve with the patient -- must be mutual, measurable,
observable, behavioral, realistic and have a time frame. Should be reduction or alleviation of problem.
Format: The patient will: _(achievement) AEB: _(observable evidence of outcome) by: _(time
frame) . Required
Select Nursing Interventions - specific activities the nurse plans & implements to help patient achieve
expected outcomes.
Must be: individualized and specific for patient, realistic, based on scientific principles, nursing
knowledge, experience, within established standards of care.
Should define what is to be done, when, how often, duration, sequence of performance. Teach, support,
comfort, respect patient and encourage patient to participate.
Format: The nurse will: _(define specific action)
Develop plan of Care - write it down in usable terms
Required
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Implementation – The nurse completes actions necessary for outcome achievement.
Interventions are Independent – the nurse prescribes, performs, supports, counsels, teaches, monitors –
includes health promotion, prevention, physical care
2 of 3 Required
Collaborative Interventions – actions carried out in collaboration with other health team members – MD,
PT, SW … 1 of 3 required
Dependent Interventions are prescribed by MD, performed by nurse.
Record interventions carried out & patient response to them
Evaluation - deliberate, systematic process in which nurse determines patient’s progress toward outcome
achievement & effectiveness of NCP.
Identify expected outcomes to evaluate,
Collect data related to outcomes,
Compare data with expectations,
Judge whether outcome achieved,
Require Met, Partially Met and Unmet, Must say HOW outcome met
Draw conclusions about interventions,
Review & modify plan of care.
If Unmet or Partially Met, must indicate HOW care plan will be modified
Did patient meet outcome? Did the interventions work? Do you need to start over?
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Appendix D
Patch Instructions
Before you apply your patch:
To set the colors of the patch:
Soak patch for 2 hours in a bowl of ¼ cup vinegar and ¼ cup warm water
Let dry
This should set the colors of your patch so it will be safe to wash with the uniform. When washing any
garment with a patch, use only non-chlorine bleach.
Patch Application: There are 3 methods for attaching your new patch:
To sew:
By machine, use a large basting stitch (6-8 stitches per inch); Stitch around outer edge.
By hand, stitch over outer edge of patch with a whip stitch.
Many dry cleaners also do applications of this kind.
To “Tack-It”
Using a temporary bond glue allows you to remove your patch for garment washing.
We have discovered a product called “Arleene’s Tack-it”. This can be purchased at many craft stores or
WalMart stores.
Follow direction on bottle:
Apply a thin coat to back of patch, making sure to spread evenly and over entire patch. Let dry 24
hours.
Remove patch before washing garment.
When patch loses “tackiness” (after 6-8 wearings) reapply Tack-it.
To Iron on: (This method applies to most Dove patches. However, if your patch does not have a shiny white
backing, it cannot be ironed on).
Center patch over area to be ironed.
Pass a hot iron over the patch two or three times until the entire patch has been covered.
This should adhere the patch to your uniform, however, a few stitches around the edges will help keep it
securely in place through repeated washings.
An ironed-on patch may be removed by reheating the patch with a hot iron
125
Appendix E
REQUEST FOR A LETTER OF REFERENCE / RECOMMENDATION
Date of Request Instructor
Student Name Telephone
Student Address
Date letter needed
Letter to be mailed Picked up from Office Mailed to facility
Please list the semester, year and course in which you completed the class with the above instructor
Theory
Clinical
Please provide the following information concerning the letter and the person to whom the letter is to be
addressed
Name Title
Facility
Address
Purpose of the letter (employment, scholarship, etc)
Specific information that needs to be included in the body of the letter
Please be certain that you personally contact the instructor prior to submitting this form for completion.
Signature of Student Requesting
Date
126
Appendix F
Challenging the CNA Test
Information for students that have completed Fundamentals of Nursing
Or
Military Medical Experience with a DD214
Below is a copy of the back of the California Department of Public Health (CDPH) document: 283B, to be
completed by the applicant. The highlighted area refers to the equivalency documentation that must be sent
with the 283B form. The bolded is what the applicant has to do. More information can be found at:
http://regionaltestingcenter.org/. This web site has a skills testing guide, practice tests and the necessary forms
(283B and livescan forms). They are also a good resource if you need to call.
The CDPH website link is http://www.cdph.ca.gov/certlic/occupations/Pages/AidesAndTechs.aspx This
website is more difficult to navigate but has additional information.
ATCS is the California Department of Public Health Aide and Technician Certification Section – where nurse
assistant and home health aide certification is processed.
Copy from back of 283B form:
C. EQUIVALENCY-TRAINED NURSE ASSISTANT APPLICANTS
If the applicant is presently in (or completed) a Registered Nurse, Licensed Vocational Nurse or Licensed
Psychiatric Technician program or has medical training in military services; or has received the above license(s)
from a foreign country or U.S. state, the applicant will not have to take further training and may qualify to take
the competency evaluation.
Submit the following to ATCS:
● An official, sealed transcript of training (students can substitute the transcript with a sealed letter on official
school letterhead listing equivalent training in at least "fundamentals of nursing". The letter must include the
completion date(s) of training).
If discharged from the military, a copy of the DD-214 can substitute for the original transcript; and
● Proof of work providing nursing services, for compensation in the last two (2) years (not required for nursing
students or if the college degree was received in the last two (2) years); and
● A copy of the completed Request for Live Scan Services (BCIA 8016) form; and
● This completed application form.
If eligible, ATCS will send information regarding taking the competency evaluation. Provided the above has
been submitted to ATCS by the applicant or training program, the nurse assistant may work with proof of
successful completion of the competency evaluation while the criminal review is in progress.
127
SAN DIEGO CITY COLLEGE NURSING EDUCATION
STUDENT SUCCESS PLAN
Date: Student: Faculty:
Beginning Date of Strategic Plan for Success:
End Date of Student Success Plan: Upon Completion of Program or :
TEAS Comprehensive Score: Math ____English ____Reading____Science____
Nature of the Problem Supportive Evidence of the Problem
msieetnesbA ڤ ڤTardiness
ڤ EXAM Failure msilanoisseforpnUڤ
Did not meet established deadlines ڤ
:lacinilC rof deraperpnU ڤ
Unsatisfactory Plan of Client Careڤ
bal ,sesongaid/smelborp tneilc hcraeser ton diD ڤ
values, medications, potential complications, etc.
:ecitcarP lacinilC efasnU ڤ
slliks cisab fo yretsam etartsnomed ton diD ڤ
I ,segasod noitacidem etaluclac ot elbanU ڤV rates,
heparin drips, etc.
oc ot elbanU ڤmmunicate clearly or
comprehend the
English language :rehtO ڤ
edoc sserd htiw ecnailpmocnoN ڤ
ytlucaf no hguorht wollof ton diD ڤ
recommendations for remediation
:ronaemed lanoisseforp ni gnikcaL ڤ
,Does not relate effectively with faculty, staffڤ
clients, and peers
ytilaitnedifnoc tneilc detaloiV ڤ
htiw yltsenoh/yllufhturt etacinummoc ton seoD ڤ
faculty and staff
Demonstrates irresponsible behavior by:
oitcurtsni/ snoitcerid ytlucaf wollof ton seoD ڤns
:rehtO ڤ
:rehtO ڤ
Appendix G
128
Recommendations for overcoming the problem (s):
(check all that apply)
noitaraperp lacinilc/cimedaca evorpmI ڤ slliks rotomohcysp evorpmI ڤ
ro dna lanosrep rof gnilesnuoc keeS ڤacademic concerns elbissop fi sruoh krow edistuo ecudeR ڤ
slliks noitacinummoc nettirw evorpmI ڤ slliks noitacinummoc labrev evorpmI ڤ
Check-off Nursing Skills Lab with Facultyڤ Practice in Nursing Skills Lab with Facultyڤ
Remediation Limitations/Obligation:
(check all the apply)
a no ytlucaf htiw teem tsuM ڤ_______ basis tsuM ڤmeet with the Peer Tutor
tsuM ڤwear proper attire with appropriate equipment tsuM ڤmeet with the Student Success Advisor
rehtO ڤ:
Student Success Plan (not addressed above):
Note: SS Plans are enforced for the entire specific Nursing Program.
Noncompliance with deadlines or recommendations can result in possible course failure.
Plan of action:
Signature Acknowledgment, Understanding, Receipt of the SSP
Student: Date:
Instructor: Date:
Instructor: Date:
Dean/Dept. Chair or Assistant Director: Date:
129
EQUIPMENT CHECK-IN/OUT FORM
I hereby certify that I read each page of the Nursing Education Student
Handbook, that I am fully familiar with the contents within the document and that I fully understand
and agree to its terms and provisions.
The policies and procedures written in the handbook are designed to assist students as they
progress through the program and answer some of the most frequently asked questions.
Contents presented in the handbook are in accordance with the San Diego Community College
District, additional student information is also available in the college catalog.
Be as it may, I understand that in order to progress through the program I will be expected to
sign-out a laptop for a week at a time and resign-out the laptop each following week throughout
the allotted time I require this assistance. I am responsible for remembering to renew the laptop
sign-out each week for the allotted time I require this assistance. Failure in doing so can result in
revocation of privileges. I am responsible for any possible costs due to damage, theft, or
misplacement of the equipment being lent to me by the SDCC Nursing Department. If there is to
be a change in the allotted time I require this assistance it will be communicated to SDCC
Nursing Department via e-mail ([email protected]).
Any questions that I have about the Nursing Education Program and the contents of the Student
Handbook have been fully explained to my satisfaction. Any addendums to the document will be
communicated with me via e-mail and will be posted on the SDCC Nursing Website.
http://www.sdcity.edu/AcademicPrograms/ProgramsofInstruction/NursingEducation.aspx
NAME (PRINTED)
SIGNATURE
Appendix H
130
Initials Date Sign-out Time Sign-in Time